this thread motivated me to try some things
i've just done some on-camera experiments with diffusers, and the Gary Fong Lightsphere gives the best results i've gotten with on-camera flash. pointed up, it acts sort of like a large diffuse bare bulb with enough light to give reasonable exposures (up to 1/500 at f5.6 ISO 800 at reasonable distance - obviously a faster lens would be useful here) even without a white ceiling (a white ceiling is better of course). even with a white ceiling, it is distinctly better than straight bounce flash and is pretty insensitive to angle - just remember to turn the flash head when you shoot verticals
not as good as off camera plus fill, but lets you move quickly and get good shot with little fiddling