That is what "Real Alternative" is for.
I've pretty much given up on startup programs like that. I still keep it pretty clean, but shit that only runs for a second (I assume) and stops like NeroCheck, qttask, ClonecdTray I stopped worrying about.
Unnecessary stuff like MS Intellitype, Intellipoint I just let run, I have a gig of ram, fuck it.
I used to keep it under 20 processes at startup, but now I shoot for 25.