John Nunemaker posted a handy tip on setting up autotest to work with Growl
I use this all the time now however I didn’t like the ugly smilies (call me shallow if you like). I used Wolfgang Bartelme’s Smily Devkit to make a couple of PNG’s slightly more pleasing to the eye.

The zip file can be downloaded here: autotest_images.zip
Update 17-08-07: Added ‘pending’ image for RSpec as requested by Aslak Hellesoy