In VS2010, breakpoints were highlighted with a background color:

In VS2012, the setting is still there but it has no effect; the breakpoints look like this:

Is it like this for everyone, or just me? Can I have the background color back somehow?
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This should just work out of the box. The color that is used for the breakpoint is set in Tools -> Options -> Environment -> Fonts and Colors under the display item “Breakpoint (Enabled)”.
If that looks like it’s set correctly but you’re still not getting the right behavior, check if you have any extensions which might be overriding the setting.