Well aside from millions of people still being alive today in all possibility, I think the differnces between Marx;s theories and what was practiced in his name is pretty large. I dont personally agree with either the theory or how it was practiced but there is a noticeable difference. Techinically Marxism didnt account for the unwillingess of people to give up power and so was (according to Marxist theories I suppose) stuck the societies in a transistion phase.
Of course when we look at communism practiced especially in the USSR we see something so close to facism (its supposed opposite) its amazing they didnt get along better. The irony being no one was more like nazi Germany than its arch foe, Stalinist Russia.
So really, I dont think the world would be too different, Russia and others may have just adopted facism instead of communism, and they would have acted in much the same way.