I never draw digitally and resize
some do though, thats way too much work [emoji14] but whatever helps them accomplish their mission
I dont do anything with my mouse anymore because the pen pressure alone is worth it so much (even in pixelart)
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The harder you press the more depth your pixel art gains.
If you've ever wondered how isometrics are drawn, thats how.
They just press much harder than you could with a mouse.