Mailer previews will literally shave hours of time off of my email testing workflow — no more mail-to-a-test-account-and-wait garbage. And that's one of the minor features.
premailer is also useful. Even with the new Rails 4.1 email previews (available in development env), sometimes it's useful to be able to preview in production. https://github.com/fphilipe/premailer-rails
How will it 'preview' the sent mail?
E-mail clients behave differently when it comes to layout.
When I'm doing such testing, I still verify the mail in at least the top 90% tier e-mail clients (web and desktop).
Unless you really need to be checking network deliver that much, mailers have long been testable, getting the last email sent from ActionMailer::Base.deliveries.last