I wouldn't say heavily costumized, but I downloaded several different skins. Most of the time I play with one I put myself from parts of all these skins. Other times I just use them bland. I rarely, if ever, go back to the osu! skin.
one does not simply play with the default skin.. i use my own customized skin. skin parts are from lots off other skins link - http://puu.sh/ai3Rd/9d779e1d15.osk if you wanna try it out
I know I'm late but I made my own skin that I can customize freely, mixing a lot of things from here and there, ending up with a skin I can use all time. The skin has items that can be altered, so there can't be only one item for every skinnable thing, including hitsounds. Seriously, mapping is an art, but hitsounding is another art, hence Audacity and the wide options of hitsounds one can use.
Unsure if the changeable items will be included in the .osk or not...
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.