As I like to tell people that think Computers are hard,
"Ruling the World is easy, if you know how"
I'm sure his artwork is the same. The more you know, the easier it is.
I've done my share of pixel editing (with Neopaint & Corel 11), but what he does just blows me away. In a good way, of course
I've used a tablet with a CADD program many years ago, so I know they really to ease things up but it still comes to skill with the hands and mind.
Skill I wish I had