I'm in agreement with most people that the Medicom head sculpt is a bit better than the Hot Toys one, and that the Hot Toys clothing is better than the one on the Medicom version. I'm personally going with Hot Toys on this one, seeing as how stills of Ledger's Joker all look a little different depending on the angle. I'm not a big collector of 1/6 scale figures (I've only purchased four so far), but I've already placed a pre-order for the HT Joker -- which is really saying something about how impressive these figures look and how promising the film is based on the trailers alone. I only purchase 1/6 figures that I think look amazing, and if HT had not released their version, I'd be ordering either the DCD or Medicom ones. All versions of the Joker really reflect how much the quality and realism of 1/6 figures have become recently. This is a win-win situation, really.