We've been using Studiometry for a solid year now; just updated to v10.
We have a small graphic design studio in which 3 of us need to communicate clearly with one another at every stage of the way, both financially, in job tracking/status and with updates/details of the job.
When searching for a project management software I was overwhelmed by the choice out there. Most were either crazy costly and required we purchase an ongoing online webservice (with ongoing monthly fees), or they were intended for huge software production companies with all sorts of features that did not apply to us. (Not that you couldn't use Studiometry for such complex teams.)
Setting up our business in Studiometry, like any in-depth application, took a little while to get used to. But we weren't looking for a dumbed down solution aimed at the LCD (lowest common denominator) user, we wanted something that would grow with our learning curve, being as complex as we needed it to be. That Studiometry delivered on.
Setting up the project management was a bit tricky for us. But in our case, there was a factor that must be considered in our learning curve (and anyone's assessment). We, as a team, weren't versed in working with a project management software. If we had come to the program with the foundation of flow charts, gantt world and such we would have sailed through our initial setup pains. But this was our own lacking, not Studiometry.
Basically, we depend 100% on running our business through Studiometry now. It runs excellent reports--so much so that we can extract and review exactly the info that we wish to extract. We can check our profitability, our current job statuses, how much we've earned, how much is owed to us, etc, etc.
We've become a smarter business because of Studiometry and I would recommend it in a heartbeat. Any lackings that we've found have only been within ourselves, not the program! It's overflowing with as many features as you'd ever need. Just take the time to learn the basics, both of the program and your own skills as a business person.
The price is easily a fraction of what the ongoing web based PM run and if you set it up with a server you can get the same anywhere-anytime accessibility. The phone/itouch app is great, too.
As a graphic designer I'd like to see a sexier interface, but it's not atrocious by any means. And I'll take substance over flash any day.