I believe this is a simple question, but I can't wrap my head around it. I want to do diagnostic commands in command shell on Windows. Like this:
   $cmd =  "ipconfig >> c:\test.txt"
   $message = Invoke-Expression($cmd)
   [String]$message = Get-Content c:\topsecret\testme.txt
Then I want to be able to read the file and keep the formatting and lastly publish it to pastebin via their API. I've tried, but I seem to lose the formatting no matter what I do. Is this possible to do?
This happens because of your casting. Get-Content returns an object array with a string object per line in the textfile. When you cast it to [string], it joins the objects in the array. The problem is that you don't specify what to join the objects with (e.g. linebreak (backtick)n). 
ipconfig >> test.txt
#Get array of strings. One per line in textfile
$message = Get-Content test.txt
#Get one string-object with linebreaks
$message = (Get-Content test.txt) -join "`n"
                        To read all the data as a single string with the line breaks embedded
$file = 'c:\testfiles\testfile.txt'
(IPconfig /all) > $file
[IO.File]::ReadAllText($file)
If you have V3, they added the -Raw parameter that will accomplish the same thing:
Get-Content $file -Raw
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