Yep, I sure do. I keep eight apps pinned to the start bar (IE, FF, File Explorer, Defrag, backup, process lasso), and I have 88 icons on the desktop. And this is a new system, ha!
I have about 40 icons for my various music making apps and standalone versions of VST instruments, normally organized in a way where things are just right there for me on my primary desktop (the ORIGINAL "Start Screen"!), plus most of the most-oft used apps for office, drawing, Explorer, Firefox, FAHcontrol, and others.
And of course, Steam likes to chuck all of your game icons on the desktop too.
A lot of older installers don't give you a choice; they put their icons on the desktop. And it works for me.