Is a preprocessor needed for a viable language?

How useful is the C++ preprocessor, really? Even in C#, it still has some functionality, but I've been thinking of ditching its use altogether for a hypothetical future language. I guess that there are some languages like Java that survive without such a thing. Is a language without a preprocessing step competitive and viable? What steps do programs written in languages without a preprocessor take to emulate it's functionality, e.g. different code for debug and release code, and how do these compare to #ifdef DEBUG?