It's not that bad, you just have to set the settings for it to watch the internal and/or external SD cards. Which is just an eye for watch (but that's confusing to most people I suspect).

Album Art wise yeah it's a pain, I use Kagu and another program for a media center though (yeah I have three different media centers installed if you include the Canola beta lol). One of those offers automatic fetching of album work.

As for the icons, I've never had a problem hitting them. They're nicely finger sized. However, I like the graphite theme but the back button (or escape button..or whatever you wanna call it) doesn't work for me.