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The latest windows update (KB4093112) has caused an issue with the Wacom tablet and Photoshop.
You can either - undo the update
Do the following (recommended) :
1. Use notepad to create a text file and type in :
2. Save the file as PSUserConfig.txt in the following location
C: > Users > Username > AppData > Roaming > Adobe > Adobe Photoshop CC 2018 > Adobe Photoshop CC 2018 Settings
3. Go to the tablet properties and uncheck "Use Windows Ink"
4. Restart Photoshop
That is it - all should now work well (you need to do all the above steps to retain pen pressure)
Note : There is a third option. Microsoft made this change intentionally and they have issued a way round it with registry change (see link below). However for Photoshop the PSUserConfig method works.
Note 2 : If you have another version of Photoshop installed e.g. CC2017 then you will need to add the file to the CC2017 folders
Thanks for the help, seems the third option works for me, sorta. after all, I did specify that I was running a Surface, not Wacom.