Can this work with ms paint on windows 10?

Thank you for the question. Yes this tablet will work with MS paint in windows 10.

Does the bluetooth version also come with a usb, or do you have to use bluetooth only?

Yes, it does also come with a USB cable. So you can use it connected or not connected.

Will this work with gimp or inkscape?

Yes, it will work with those applications.

If I need a spare pen which do I get

You don't have to change the whole pen unless you lost it. Just change the nibs. have a look on this: https://us-store.wacom.com/Product/Intuos-Pen-S02#/undefined1 Or this: https://www.amazon.com/Wacom-LP190K-Intuos-Pen/dp/B012WJVOVA/ref=sr_1_fkmr0_2?ie=UTF8&qid=1527920988&sr=8-2-fkmr0&keywords=intros+pen+nibs and this: https://www.amazon.com/Wacom-ACK20001-Intuos-Standard-Nibs/dp/B005KB8H7M/ref=pd_sbs_147_2?_encoding=UTF8&pd_rd_i=B005KB8H7M&pd_rd_r=PK3B8QFS70V28RVRDV79&pd_rd_w=SuoMt&pd_rd_wg=9e7VG&psc=1&refRID=PK3B8QFS70V28RVRDV79&dpID=31YxrEnRhIL&preST=_SX300_QL70_&dpSrc=detail

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🎨 Elevate your digital canvas—create, connect, and conquer with Wacom Intuos!

UNPLUG AND CREATE ANYWHERE - Seamless Bluetooth connection lets you work wirelessly from your desk, couch, or classroom.
CUSTOMIZABLE WORKFLOW BOOST - 4 ExpressKeys tailor your shortcuts for maximum productivity and creative flow.
CROSS PLATFORM COMPATIBILITY - Works effortlessly with Mac, Windows, Chromebook, and Android devices—your creativity, no limits.
PRECISION AT YOUR FINGERTIPS - 4096 pressure levels deliver ultra-responsive, natural pen strokes for flawless digital artistry.
BONUS CREATIVE SUITE TRAINING - Unlock exclusive software and expert tutorials to elevate your skills from day one.

The Wacom Intuos Medium Bluetooth Graphics Drawing Tablet offers professional-grade precision with 4096 pressure sensitivity levels and a battery life of up to 15 hours. Featuring wireless Bluetooth connectivity and 4 customizable ExpressKeys, it supports Mac, Windows, Chromebook, and Android platforms. Ideal for creators, educators, and students, it includes exclusive creative software and online training to jumpstart your digital artistry.

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Standing screen display size	10.4 Inches
Screen Resolution	4096 levels per inch
Average Battery Life (in hours)	15 Hours
Brand	Wacom
Series	Intuos M
Item model number	CTL6100WLK0
Hardware Platform	Mac, PC
Operating System	Android,Os,Windows
Item Weight	14.5 ounces
Product Dimensions	10.4 x 7.8 x 0.1 inches
Item Dimensions LxWxH	10.4 x 7.8 x 0.1 inches
Color	Black
Rear Webcam Resolution	1 KHz
Voltage	120240 Volts
Batteries	1 Lithium Ion batteries required. (included)
Manufacturer	Wacom Technology Corporation
ASIN	B079NWPZTG
Is Discontinued By Manufacturer	No
Date First Available	March 6, 2018

Wacom Intuos Medium Bluetooth Graphics Drawing Tablet, Portable for Teachers, Students and Creators, 4 Customizable ExpressKeys, Compatible with Chromebook Mac OS Android and Windows - Black

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