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So with Ps 2019 and Ps 2018 you need to activate Windows ink so you get pressure sensitivity with your tablet?
The 21.1.3 update resolved a lot of pen pressure issues in Win 10.
If you can only run 2018 or 2019 then YES you'll need to use Windows Ink to get pressure sensitivity on Windows.
With Windows Ink activated, do you have trouble selecting text and moving tabs and windows?