I use Fetish Nightfall on a 1080p, 37 inch HDTV monitor. I don't really have issues with it being small because I'm at roughly the same distance as I was using a smaller monitor (3-4 feet away).
Of course not everyone wants to play up as close as I do, so thanks for modding the default to a larger size, that's a relatively common request so I'll send folks your way for that =)
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