I use it to make small tweaks to existing themes. I think it's extremely flexible and offers all sorts of options for users. Like all powerful software, it has a steep learning curve but full of options. If you want quick results, download a theme created by some of the users. If you want to dive in, be prepared to put in some effort!

I applaud Cakewalk for offering such flexibility. I remember reading complaints in this forum about the need to customize colors a few years back like Sonar 8.5. Well I'm my opinion, Cakewalk certainly delivered!