I dont usually like trying out new skins, but when i do theres usually one thing that i dont like about it. Its usually the hitsounds so All i do is just get another skin and replace the hitsounds mp3 sound.
I don't even know how to make a skin but I'm very comfortable with Azer's skin.
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I used to play with my customized skin which actually started from wario ware skin but changed alot of the time, and even did my own skin on this p/2917930#p2917930 . But now i use default skin since 2 months ago since it doesnt affect gameplay at any shape or form for me. I am playing as well as i used to without much difference. Not even insibile 300s xD
I use default skin, since I already comfortable with it and I like the design already. I tend to play much worse when I use a custom skin, so I rather avoid it all together.
Sometimes custom skins and skins from the site make it more difficult to play by having a cursor which tends to blend in with backgrounds, and having hit scores (50, 100, 300, etc.) which are so big that they interfere with visibility, not to mention that some of them are kinda flashy. The default doesn't cause any problems for me so I just stick with that.
I mostly use default for osu!, CtB, and taiko. but i use a modified o2jam skin made by ecafree2 for mania, since the column size and colour isn't good (idk how to change it).
i usually like to mix skins that i downloaded, because i like some textures from that skin, and it's the same with other skin, either way, i end up mixing things anyway lol.
Anyway, my only issue with a skin is its hitsound and transparency for smooth play. Like, I get comfortable hitting those circles with a nc hitsound and get comfortable reading the map with transoarent sliders. Somethin like those.
I use skins that don't take to much focus like Luminous (v2) (link, https://osuskins.info/skin?s=2474). IT doesn't have any numbers in the circles and that does have pro's and con's. The pro's is as i said before it doesn't take much focus and that when ever you get a miss, 50, 100 or a 300 it isn't distracting and in your face but the con's are that I really like jump maps but sometimes I become confused with the order of the circles. If i would change the default skin I would make the colors less vivid and the miss's, 50's, 100's and 300's less distracting.
i play with two custom skins: one reddish-pink, and the other one is a kind of blue you'd see in a rafis skin. this is primarily to affect how i play, since red scientifically enhances focus and aggression, while blue suggests a more passive and calm sensation. the skins themselves are not by any means perfect, especially the standard mode, but it is fixable.