There are signs of use. There are white, hazy marks, but they are not raised enough to feel bumpy to the touch, and the pen doesn't catch when you draw with it. * As shown in photo 1, the white haze is noticeable when direct light hits it, so you may need to adjust the angle. * The box has some slight tears (please check the photos). - Model: LCD Pen Tablet - Accessories: Pen, Pen Holder - Several unused replacement pen nibs are also included - Cables: Charging cable, USB cable