This tablet is okay for what it is, but don't expect the quality and flexibility of more reliable brands.
Let me start by saying that I *really* wanted this tablet to be awesome, as a cheap alternative to Wacom, despite the fact that the company is obviously marketing the tablet through 'customer' reviews (see above). I'm trying to build my own Cintiq-style tablet from a tablet and an LCD monitor, so durability of the casing and appearance don't really matter to me. Those weren't the only problems, however.
First, even the fine print is a little misleading: the true active area on this tablet is 9.5" by 5.5". The 10x6.25 figure includes the massive ring of buttons around the drawing area, which is not active for drawing, only for hitting those buttons.
I could live with that, because I don't need a huge tablet. However, after installing the drivers I noticed that performance is sluggish if you're doing anything more than waving your mouse around the desktop. Do not attempt this tablet with any kind of gaming; you will get pwned.
As an art tablet, the VisTablet still has some drawbacks. It is jumpy at times, and the software provided gives you little to no customization: you cannot specify, for example, how much screen area the tablet should control, or which monitor in a dual monitor setup you want to work in: the tablet will automatically span your full system resolution, meaning the higher resolution your system (especially dual monitor systems) the sloppier the tablet performs. These features are standard in Wacom drivers. What gives?
Then pen itself feels hollow, and requires a battery (unlike other brands). While the specifications suggest that the software detects pen tilt, I see no evidence of that either in Photoshop, or in some software I have to pull the pen data from the OS.
I gave it two stars out of pity, but frankly your money is better spent elsewhere.