QNX is a still very popular realtime OS in the embedded world today. Btw, the OS run by the BlackBerry devices is QNX. Usually you'll find QNX in control systems like avionics.
I sometimes don't understand people's hate for the playbook, it is a wonderful tablet. IMHO it is a much better tablet than kindle fire (which is inspired heavily by the playbook btw), with TAT integration and two extra cameras and an active bezel. I time and time again feel that Google should buy rim and integrate QNX and Android.
And how "fast" and "real time" a desktop feels usually has little to do with the technically real time (or lack of thereof) of the kernel.
That said, Plan 9 has an interesting implementation of real time capabilities: http://doc.cat-v.org/plan_9/real_time/
But there seem to be some other interesting examples, like QNX: http://en.wikipedia.org/wiki/List_of_real-time_operating_sys...
RTLinux is more widely used than RTAI or Xenomai, but it's a completely different model, it's more like a hypervisor. Again, it doesn't help. While the OS provides the serivices, applications must be programmed specifically to use it.
It felt better when you were using the GUI, and maybe this is all that matters to most users, but the implementation was significantly poorer compared to NeXTSTEP.
A real time OS has some advantages as a desktop OS, everything is instant and without lag, but the total throughput of the system is significantly lower. To make a stupid car analogy, a RTOS is a Ferrari while a conventional OS is a massive off-road vehicle. Personally I think a RTOS is the way to go for a desktop OS.