TotM whenever possible.
When I need a visual representation, I'll use whatever springs to hand. Right now, that's usually Lego figs with appropriate weapons for the characters. I have used beads, coins, pre-painted minis, paper minis, tokens, regular Lego blocks, dice of course, and a bunch of other things that I've forgotten. I once used paper clips. The board has been Dwarven Forge to drawn maps to pre-printed maps to dry erase to sanded wooden dungeon sections (out of old paneling) to a green table cloth thrown over some books to represent hills.
In general, I prefer the more abstract representations, because I find with the players my games attract, it helps with imagination to not get to specific. Painting and crafting terrain is completely out for me. I get more paint and clue on me than I do the target.
