Twisted Hand Studio, a 50-person game art outsourcing company based in Nanjing, China, specializes in both 2D and 3D game art services catering to both Western and Eastern clients. The document discusses the cultural differences, art style preferences, market dynamics, and policy challenges when working with clients from different regions, emphasizing the importance of adapting to each market's unique characteristics. Additionally, it provides practical advice for building relationships and conducting business successfully in Japan, the West, and China.