Testcart is a utility cartridge that allows you to check an Atari 2600's various components and controllers to see if they're working properly.
When you plug in the cart, it displays a few colors onscreen so you can make sure your 2600 video circuitry is working, and plays music so you can check the audio. After a few seconds, the screen will change to a display showing the status of various controllers: joysticks, keypads, and paddles; and also the console's various switches. As you flip switches, move controllers, or press buttons, the onscreen display changes accordingly. If something doesn't change, then you know you've got a problem. To troubleshoot a problematic controller you may want to switch ports so you can be sure it's the controller, and not the console. Driving controllers aren't mentioned in the manual, but they are testable in that if you spin them, the joystick up/down indicators will alternate on and off.
Testcart works very well for what it does. If you need to test a number of consoles or controllers, it may well be worth getting. For the casual gamer though, just plugging in a game you already own may work well enough. Support for the Omega Race booster grip, driving controllers, Sega game pads and the AtariVox would be welcomed. It would also be nice if there were more detailed tests available - such as grayscale ramps or a full 2600 color palette so you could better adjust your TV, or the option to test the individual sounds or graphics registers of the 2600.