I've tried just about every photoshop clone, and nothing beats the original (or maybe I'm just so used to the interface I find myself fumbling in other programs). I was able to find a used copy of CS5 for a decent price
I use solidworks for my job (have been for 15 years), and although fusion 360 is very close.. again, I'm used to the interface. I think either CAD program is great for designing. In fact fusion360 might have somewhat of an advantage since it has a very good CNC section built in (depending on whether you're going to cut your own playfield or farm it out). One disadvantage to using fusion360 is most of the 3D files on pinballmakers is solidworks, and unless you have a professional version of fusion360 you can't import those models. I do know that a homebrew twitch streamer that goes by Surreal_7 is building a giant library of stock parts in fusion360. I asked him if he ever considered sharing the files and he said he thought about it.