PostGIS 64-bit for Windows it's coming
UPDATE We have PostGIS 2.0.0 available for both 32-bit and 64-bit windows PostgreSQL. We are wroking on getting the installers out

This past week has been very nerve racking but also exciting. We have successfully compiled PostGIS under the mingw64 chain and built a PostGIS windows 64-bit for 2.0 (and 1.5), that can install under the Enterprise Db VC++ 64-bit builds of PostgreSQL 9.1. We haven't tried on 9.0, but we assume that should be fairly trivial. Note only that, but it passes most of the PostGIS battery of tests. We first want to thank a group of people which made this all possible:

We hope to have a 64-bit compiled download ready next week for PostGIS 2.0.0 beta3 for people to try out. We are working on some issues with the raster2pgsql and loader/dumper guis we compiled not working right, but the core PostGIS works just fine in 64-bit and the 32-bit loader tools work fine against a 64-bit install. One thing we did notice with the 64-bit PostgreSQL is that we can set shared_buffers much higher than the 32-bit PostgreSQL windows. On windows we could never go beyond ~700MB without it not being able to start or crashing. With the 64-bit we were able to go to 2GB. Haven't tried higher yet. We hope this will prove to be a performance boost for tasks such as geocoding that reuse a lot of the same datasets and benefit a lot from share memory.