Overview

The Wacom Intuos Pro Medium Pen Tablet sits firmly in Wacom's professional tier — this is not a starter device you pick up on a whim. Released in January 2017, the PTH-660 still holds its ground for working creatives who demand precision over novelty. One important caveat worth knowing upfront: this listing is a Japan import, which means it ships without an international warranty. If something goes wrong, you're largely on your own. First-time tablet users should also expect a real adjustment period — building muscle memory with a pen tablet takes time, patience, and deliberate practice.

Features & Benefits

With pressure sensitivity at 8192 levels, this Wacom Pro tablet translates the lightest touch into a hairline and a firm press into a bold, confident stroke — a distinction that matters deeply in illustration and photo retouching. The Pro Pen 2 adds tilt recognition, so hatching and shading behave much like they would with a real pencil. Bluetooth connectivity keeps the desk clean, though experienced users will tell you that wired mode stays the more reliable choice for latency-critical work. The multi-touch surface handles zoom and pan gestures smoothly, and the customizable ExpressKeys let you map shortcuts without lifting the pen.

Best For

The Intuos Pro Medium hits a practical sweet spot in terms of active area — large enough for detailed work, compact enough to travel with. It suits illustrators, concept artists, and photo editors who spend serious hours at the desk and want ergonomic pen input that reduces wrist fatigue compared to a mouse. Professionals moving away from traditional media will find this pen tablet rewards deliberate, practiced technique. The Bluetooth option also appeals to anyone building a cable-free workspace. That said, this is not the right pick for someone just dipping a toe into digital art — the depth of features and the price point both assume a committed, skilled user.

User Feedback

The general consensus among experienced buyers is that pen accuracy and build quality are genuinely impressive — this feels like a tool built to last, not a disposable peripheral. Long-term users report the tablet holding up well through years of daily creative work. On the flip side, driver installation trips up a meaningful number of people, especially on macOS after system updates, and Bluetooth stability can vary noticeably across OS versions. The Japan-import aspect adds real risk: buyers occasionally report packaging differences and, critically, no warranty coverage if hardware issues arise. For anyone purchasing from outside Japan, that should factor heavily into the final call.

Pros

  • 8192 levels of pressure sensitivity deliver genuinely expressive, nuanced line control for illustration and painting.
  • Pro Pen 2 tilt recognition mimics the natural feel of a real pencil or brush during detailed work.
  • The medium active area strikes a smart balance between usable workspace and portability.
  • Bluetooth connectivity keeps the desk clean and cable-free for creative professionals who value an organized workspace.
  • Customizable ExpressKeys and Touch Ring let experienced users map critical shortcuts and speed up repetitive workflows.
  • Multi-touch gesture support handles zoom, pan, and rotate intuitively without reaching for the keyboard.
  • Build quality is consistently praised by long-term users — this pen tablet is built to survive years of heavy daily use.
  • Dual connectivity options mean you can switch to wired mode whenever you need rock-solid, low-latency performance.
  • The PTH-660 remains highly competitive in accuracy and responsiveness even measured against newer releases.

Cons

  • Sold as a Japan import with no international warranty, leaving buyers with little protection if hardware fails.
  • Wacom driver installation is a recurring frustration, especially after major macOS system updates.
  • Bluetooth performance can be inconsistent across operating systems and is not recommended for latency-sensitive work.
  • The steep price point is hard to justify for anyone without a serious, committed creative practice.
  • First-time tablet users face a genuine learning curve that can take weeks to overcome before productivity improves.
  • Packaging and documentation may differ from international retail versions due to the Japan-import origin.
  • No manufacturer warranty support outside Japan creates real risk if you purchase through third-party import listings.
  • The 2017 hardware generation means some software integrations and firmware features lag behind current Wacom models.

Ratings

The scores below reflect an AI-driven synthesis of verified buyer reviews for the Wacom Intuos Pro Medium Pen Tablet, gathered from global markets and actively filtered to remove incentivized, bot-generated, and outlier feedback. Each category is scored independently, weighing both the depth of praise and the frequency of genuine complaints to give you an honest, complete picture. Strengths are credited where they are earned, and recurring pain points are not softened.

Pen Accuracy & Sensitivity
94%
The Pro Pen 2 with 8192 pressure levels is the single most praised aspect of this tablet across all verified feedback. Illustrators consistently describe the transition from light sketch strokes to bold confident lines as feeling natural and predictable — the kind of control that takes years to replicate with a mouse.
A small number of users report occasional cursor jitter at very slow pen speeds, typically in older driver versions. This is rare and usually resolved with a driver update, but it has been enough to disrupt fine detail work for a handful of professional retouchers.
Build Quality & Durability
91%
The tablet body feels dense and purposefully constructed — users who have run this pen tablet through years of daily studio work frequently note that it shows no structural wear beyond surface texture changes. The matte finish resists fingerprints well and the ExpressKey buttons remain tactile even after heavy repeated use.
The drawing surface texture does gradually wear smooth with sustained use, which subtly changes the tactile feedback that many artists rely on for pressure calibration. Replacement surface sheets are available but represent an additional ongoing cost that newer buyers rarely anticipate.
Bluetooth Connectivity
71%
29%
For the majority of creative tasks — compositing, casual illustration, gesture-based navigation — the Bluetooth connection performs reliably enough that most users genuinely appreciate the cable-free desk setup it enables. Pairing is straightforward across both macOS and Windows, and connection drops during normal sessions are infrequent.
Under more demanding conditions, particularly fast gesture drawing or high-speed brush strokes, a subtle but perceptible latency can surface that simply does not exist in wired mode. Bluetooth stability also varies noticeably across operating system versions, and a meaningful portion of macOS users report occasional reconnection hiccups after system sleep.
Driver & Software Experience
58%
42%
Once the Wacom driver is correctly installed and configured, the software integration with major creative suites like Photoshop and Clip Studio Paint is thorough and well-developed. The driver control panel offers deep customization of every button, ring mode, and touch gesture, which experienced users take full advantage of.
Driver installation is the single most frequently cited frustration in user feedback — particularly on macOS, where major system updates have repeatedly broken tablet functionality until Wacom released a patch. The process of granting accessibility and security permissions across newer macOS versions trips up even technically confident buyers, sometimes requiring full reinstalls.
Multi-Touch Gesture Support
74%
26%
Pinch-to-zoom, canvas rotation, and two-finger scroll all work fluidly during active drawing sessions, and users who lean into the gesture workflow find it meaningfully reduces keyboard reach during detailed work. For photo editors navigating large canvases, touch navigation feels close to second nature after a short adjustment period.
Accidental touch activation is a recurring complaint — brushing the surface with a resting hand mid-stroke can trigger unintended gestures. Many users end up disabling touch entirely during focused drawing sessions and only re-enabling it for navigation-heavy tasks, which undermines the feature's practical value.
ExpressKeys & Touch Ring
83%
The eight ExpressKeys and four-mode Touch Ring are highly regarded by professional users who invest the time to map them thoughtfully. Illustrators frequently assign brush size control to the Touch Ring and undo, zoom, and tool switches to the keys — a setup that keeps the dominant hand on the pen almost continuously.
The physical placement of the ExpressKeys requires some adaptation for left-handed users, as the default layout is designed with right-handed workflows in mind. New users also report a non-trivial setup time investment before the key mapping feels intuitive rather than disruptive.
Tilt Recognition
88%
Tilt detection on the Pro Pen 2 is consistently praised by artists who use hatching, cross-hatching, and side-of-nib shading techniques. In applications that support tilt natively — such as Procreate on compatible devices or Photoshop with tilt-sensitive brushes — the result adds a layer of expressiveness that genuinely narrows the gap between digital and traditional media.
The tilt feature's impact is heavily dependent on the software being used, and in applications with limited tilt brush support, it goes largely unnoticed. A few users drawing at extreme angles also report that tilt response becomes less linear near the edges of the active area.
Active Area Size
86%
The medium active area is widely regarded as the practical sweet spot for professional desk use — large enough for detailed illustration without forcing wide arm movements that cause fatigue during long sessions. Users who transitioned from the small size consistently describe the upgrade as immediately noticeable in their drawing comfort.
Users pairing the tablet with large or ultra-wide monitors sometimes feel the medium area demands more wrist-to-screen mapping adjustment than they expected, particularly when working across multiple displays. A handful of users who do very large-canvas digital painting ultimately wished they had opted for the large model.
Ergonomics & Comfort
82%
18%
The slim 0.31-inch profile and low surface angle make for a comfortable resting position during extended drawing sessions, and the transition from mouse to pen significantly reduces wrist strain for users who previously spent hours on photo editing with a traditional input device. The pen itself is well-balanced and does not cause hand fatigue quickly.
Like all pen tablets, there is an inherent ergonomic adjustment period while hand-eye coordination adapts to the disconnect between surface and screen. Users with pre-existing wrist conditions occasionally report that extended pressure-heavy work still creates some strain, regardless of the tablet format.
Portability
79%
21%
At 1.54 pounds and under a third of an inch thin, the Intuos Pro Medium fits into most laptop bags without adding significant bulk, and the Bluetooth option means one fewer cable to manage when working from a client studio or co-working space. Frequent travelers among the creative professional segment rate it well for on-the-go usability.
It is not quite as grab-and-go as the small model — the footprint at 13.31 x 8.62 inches does demand dedicated bag space. Users who commute daily with a full laptop setup occasionally find the combined weight and space of tablet plus laptop starts to feel cumbersome on longer trips.
Warranty & Import Risk
41%
59%
There is no meaningful positive to frame here without being misleading — the absence of an international warranty is a straightforward limitation of this Japan-import listing, and buyers who receive a fully functional unit simply never encounter the issue.
This is the most polarizing aspect of the listing. Buyers who experience hardware failure after purchase have virtually no recourse through official Wacom support channels outside Japan, and several reviewers report being turned away when seeking repairs or replacements. For a tablet at this price tier, the lack of warranty coverage is a genuinely significant risk that deserves serious consideration before purchasing.
Value for Money
67%
33%
For a creative professional who will use this pen tablet daily and can find it at a discount below current retail pricing for newer models, the underlying hardware performance justifies the investment. The PTH-660 delivers professional-grade pen input that holds up against the demands of real studio work without compromise on accuracy.
The Japan-import premium combined with no warranty coverage makes the value equation genuinely difficult to recommend with confidence at full price. When current Wacom models with international warranty are available at comparable or only slightly higher prices, the cost-benefit case for this particular listing weakens considerably.
Unboxing & Packaging
63%
37%
Users who received intact units generally describe the packaging as appropriately protective for the hardware inside, and the included accessories — pen, nibs, and connectivity cable — are present and functional out of the box.
Japan-import packaging differences mean the documentation, quick-start materials, and any regional inserts are in Japanese, which creates a mild friction point for international buyers expecting localized content. A small number of users also report minor cosmetic packaging damage on arrival, consistent with international shipping handling.
Compatibility & OS Support
76%
24%
On Windows, the tablet integrates reliably across a wide range of creative applications and system versions, and most Windows-based users report a smooth, consistent experience after initial driver setup. The hardware itself is broadly compatible and does not impose meaningful restrictions on software choice.
macOS compatibility has a documented history of disruption following major OS updates, and this pen tablet is not exempt from that pattern. Android compatibility is referenced in the product listing but is functionally limited and not a reliable use case for professional creative work on this device.

Suitable for:

The Wacom Intuos Pro Medium Pen Tablet is built for creative professionals who depend on precise, expressive pen input as a core part of their daily workflow. Illustrators and digital painters will get the most out of its 8192 levels of pressure sensitivity, which translates directly into more natural, controlled line work across any brush-heavy application. Photo retouchers and graphic designers who spend long hours at a desk will also appreciate the ergonomic advantage of a pen over a mouse, particularly for detailed masking and compositing tasks. The medium active area is a practical choice for professionals who occasionally need to pack up and work from different locations without sacrificing a usable drawing surface. Artists moving away from paper and pencil will find this pen tablet rewards their existing muscle memory in ways that a mouse simply never could. The optional Bluetooth mode is a genuine bonus for anyone who prioritizes a clean, uncluttered desk setup.

Not suitable for:

The Wacom Intuos Pro Medium Pen Tablet is a poor match for anyone who is just beginning to explore digital art and has not yet committed to learning the craft seriously. The learning curve is real — coordinating hand movements on a tablet surface while watching a screen takes deliberate practice, and the investment only makes sense if you plan to use it consistently. Casual users who want a tablet for occasional note-taking or light sketching will find both the feature depth and the price tier far beyond what their use case demands. Budget-conscious buyers should also weigh the Japan-import status carefully: this listing carries no international warranty, so if hardware issues arise after purchase, you have very limited recourse. Users on macOS who frequently update their operating system should know that Wacom driver compatibility has historically lagged behind major system updates, which can disrupt an otherwise smooth workflow. Anyone expecting Bluetooth to perform identically to a wired connection for high-speed or latency-sensitive work may also find the wireless mode falls short of their expectations.

Specifications

  • Model Number: This tablet carries the official model designation PTH-660, the medium variant in the Intuos Pro line released in January 2017.
  • Dimensions: The tablet measures 13.31 x 8.62 x 0.31 inches, giving it a slim, low-profile form factor suited for desk and travel use.
  • Weight: At 1.54 pounds, the tablet is light enough to reposition easily on a desk without feeling insubstantial in build.
  • Active Area: The medium active drawing area provides a workspace that balances detailed illustration work with practical portability for professionals on the move.
  • Pressure Sensitivity: The Pro Pen 2 delivers 8192 levels of pressure sensitivity, enabling a wide range of stroke weights from the lightest sketch line to a full, heavy mark.
  • Tilt Recognition: The included Pro Pen 2 supports full tilt recognition, allowing the tablet to detect pen angle for more natural shading and hatching techniques.
  • Connectivity: The tablet supports both Bluetooth wireless and USB wired connection, giving users the flexibility to choose based on workflow and latency requirements.
  • Multi-Touch: The active surface supports multi-touch gestures including pinch-to-zoom, rotate, and pan, functioning similarly to a precision trackpad.
  • ExpressKeys: Eight customizable ExpressKeys are built into the tablet body, allowing users to map application shortcuts for faster, pen-in-hand workflow.
  • Touch Ring: A central Touch Ring supports four programmable modes, typically used for brush size adjustment, zoom, canvas rotation, and scroll control.
  • Battery: One Lithium Ion battery is required and included in the package to power the wireless Bluetooth functionality.
  • Compatible OS: The tablet is designed for use with Windows and macOS; Android compatibility is referenced in the product listing but is not the primary intended platform.
  • Manufacturer: This tablet is manufactured by Wacom Co., Ltd., based in Japan, under the Wacom brand established as the industry standard for professional pen input.
  • Import Status: This listing is a Japan domestic import and does not include an international manufacturer warranty, which buyers outside Japan should factor into their purchase decision.
  • Release Date: The PTH-660 was first made available in January 2017 as part of Wacom's updated Intuos Pro lineup for that model year.
  • Market Rank: This tablet holds a Best Sellers Rank of approximately #774 in the Computer Graphics Tablets category on Amazon, reflecting sustained buyer interest.
  • Pen Technology: The tablet is compatible with the Pro Pen 2, which uses electromagnetic resonance technology and requires no battery in the pen itself.
  • Size Tier: The PTH-660 occupies the medium size tier in the Intuos Pro range, positioned between the compact small and the large studio-oriented model.

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FAQ

Yes, the Intuos Pro Medium is fully compatible with Adobe Photoshop, Illustrator, and most other major creative applications on both Windows and macOS. Pressure sensitivity and tilt response work natively once the Wacom drivers are installed. Just make sure your driver version is current, as older versions can sometimes conflict with newer Adobe releases.

Honestly, it depends on your commitment level. The Wacom Intuos Pro Medium Pen Tablet is a professional-grade tool with a real learning curve, and the price reflects that. If you are just starting out and are not yet sure whether digital art is something you will stick with, a more affordable entry-level tablet might be a smarter first step. That said, if you already have drawing experience and are serious about going digital, this tablet will not limit you as you grow.

The hardware itself will work fine in the US, Europe, or anywhere else — there are no regional hardware locks. The practical concern is the warranty: this is a domestic Japan import, so Wacom's international support channels will not cover it if something goes wrong. You are essentially buying without a safety net. The software and drivers are available globally from Wacom's website, so that part is not an issue.

Bluetooth works well for general use, but experienced users consistently recommend wired mode for anything that demands precise, real-time responsiveness — like fast gesture drawing or detailed retouching. The wireless connection is solid enough for lighter work and keeps your desk clean, but you may notice occasional micro-latency that would be imperceptible in casual use and mildly frustrating in high-speed work. Having both options is genuinely useful.

No, the Pro Pen 2 is battery-free. It uses electromagnetic resonance to communicate with the tablet surface, so there is nothing to charge or replace inside the pen. The Lithium Ion battery included with the tablet is only for the Bluetooth wireless module in the tablet body itself.

The medium active area is genuinely comfortable for most professional tasks, including detailed illustration and photo compositing. Many full-time creative professionals prefer the medium size precisely because it matches natural wrist movement — the large size can actually cause fatigue if you are making wide arm sweeps all day. Unless you are working on extremely large-canvas detail work or specifically need one-to-one screen mapping on a large monitor, medium covers most professional workflows well.

This is one of the most common complaints across the Wacom user community generally, not just with this model. After major macOS updates — particularly with newer security permissions introduced in recent versions — Wacom drivers can stop working until an updated driver is released. It is not guaranteed to happen, but it is a known pattern. Keeping an eye on Wacom's driver release notes and updating promptly after macOS upgrades is a practical habit that helps avoid disruption.

Partially, yes. The multi-touch surface handles zoom, pan, rotate, and scroll gestures quite naturally, and some users do use it as a trackpad substitute. That said, it is optimized as a drawing companion rather than a full pointer replacement, so very precise cursor navigation with fingertip alone can feel less refined than a dedicated trackpad. For creative gestures during drawing sessions, it works well.

Based on long-term user experience, this pen tablet holds up well under consistent daily use. The surface texture does wear down gradually over time with heavy stylus contact, which slightly changes the tactile feel — replacement surface sheets are available from Wacom. The body itself is solid and does not feel fragile. Users who have run this tablet through years of full-time professional use generally report it aging gracefully.

For most professional workflows, yes — the core drawing experience, pen accuracy, and pressure sensitivity of this generation remain genuinely strong. Newer models have incremental improvements in connectivity and some software features, but the PTH-660 does not feel outdated when you actually use it. The main consideration is the Japan-import warranty risk combined with the price. If you can find it at a meaningful discount compared to current retail models, it remains a compelling option for the right buyer.

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