Из файла readme.txt:
Строительство:
1.) Install the Visual Studio 2010 SDK.
2.) Clone the vsClojure repository.
3.) Download the Managed Package Framework (http://mpfproj.codeplex.com/).
4.) Create a folder named "ManagedPackageFramework" in the solution directory.
5.) Copy the ManagedPackageFramework source to the new folder.
6.) Open the vsClojure solution.
7.) Build
Продолжительность:
1.) Download or build ClojureCLR (http://github.com/richhickey/clojure-clr).
2.) Build vsClojure.
3.) Run vsClojure from Visual Studio.
4.) Add a new Clojure project.
5.) Set the path to ClojureCLR in the project properties.
О, и readme также говорит:
In development - Not ready for use.