This actually works very well better than the ones we have tried recently. Our water pressure is probably medium I would say its not super powerful. With this shower head we get a even pressure even when changing to different settings the powerful setting still gives you the massage feeling. The metal stays clean and doesn't leave any residue from our well water so it stays looking clean and nice which is a plus. The long hose is amazing this is my first time having one that has a longer hose and we have kids and pets and this is really amazing! When using this we still get the same pressure this makes washing the dog especially so much easier when we are already chasing her around the bathroom she finds it soothing and mostly stays put.