Ill add an endorsement for the Wacom, Intuous 2 5x4" in this case. With a pen the surface is large enough, the mouse feels a bit restrictive on such a small area. There is variable acceleration and speed though so its not a major problem. You may also use a separate mouse at the same time too, if you have a favourite. As add-ons you can buy some interesting specialist pens like "paintbrush" and "airbrush" but they aren`t an absolute necessity. For artwork the pen is fantastic, variable colour depth, spray width and opacity can be set, from your paint package software. In my limited experience Photoshop Elements works with it slighty better than Paintshop Pro, the lines just look a little better, something to do with the anti-aliasing. Mark