Aligning Large Language Models (LLMs) and Large Multimodal Models (LMMs) to human preferences is a central challenge in improving the quality of the models' generative outputs for real-world applications. A common approach is to use reward modeling to encode preferences, enabling alignment via post-training using reinforcement learning. However, traditional reward modeling is not easily adaptable to new preferences because it requires a separate reward model, commonly trained on large preference datasets. To address this, we introduce Activation Reward Models (Activation RMs) -- a novel few-shot reward modeling method that leverages activation steering to construct well-aligned reward signals using minimal supervision and no additional model finetuning. Activation RMs outperform existing few-shot reward modeling approaches such as LLM-as-a-judge with in-context learning, voting-based scoring, and token probability scoring on standard reward modeling benchmarks. Furthermore, we demonstrate the effectiveness of Activation RMs in mitigating reward hacking behaviors, highlighting their utility for safety-critical applications. Toward this end, we propose PreferenceHack, a novel few-shot setting benchmark, the first to test reward models on reward hacking in a paired preference format. Finally, we show that Activation RM achieves state-of-the-art performance on this benchmark, surpassing even GPT-4o.