I picked up the large punch when it was on sale here because I thought it would be fun. But I quickly realized that I needed another size to go with it. The medium seems quite a bit smaller but it works together beautifully. It's so easy to get a dynamic tumbling sort of look.
This size fits in a 1" circle and is easy to use on standard paper and card stock. It will not punch heavier weights like tags.
I really love the hexagon look... I love that I can fit dozens of coordinating papers on the same layout in a fashionable way and this punch is so easy to use! It's approved by the Arthritis Foundation and it fully deserves that accolade. I bought every size and love to nest them and use them together on my projects... a great buy for sure!
With arthritis, I was hesitant at first because of the grip handle of this punch; I was pleasantly surprised to find out that because of the leverage given by the handles, there was very little pressure needed. Love this tool and I'll be getting more shapes!