Wacom Intuos Small ・ Product box ・ Wacom Intuos device ・ Wacom Pen 4K ・ Quick start guide (booklet) ・ Regulation sheet (booklet) ・ USB cable (sold separately) The above 5 items are all included, just as they were when purchased new. I purchased this here, but I couldn't use it well and only used it once. There are no scratches or noticeable external damage. The outer box has some minor scratches. Thank you.