You can draw art using 3rd party software, but I cant think of anything else off the top of my head. And yus its a reskin of the Huion 420, which, don't get me wrong, will be a terrific tablet anyway! (I have used the Huion 580 for Osu before and had no issues!) Huion is a great make for tablets, and they are great value for money.
I am the only Osu! player that isn't fond of anime, I swear.