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if you draw or photoshop, a wacom screen is a life changer. not an ipad pro or surface, a 20"+ wacom cintiq on a solid desk is still light years beyond anything else out there. also, if you edit video, a usb shuttle wheel with mapable hot buttons makes cutting much faster than click and drag. really good speakers are important. lastly, get the best chair (with a headrest!) you can afford.
+1 on the good chair. I've spend 500 Euros and don't regret my decision.
But why the head rest? Any source I've had (including a ergonomics specialist I've had a short talk with after buying the chair) said that your head should much rather move freely.
I got pretty severe shoulder and neck issues from sitting in Aeron and Mira chairs doing production graphics. Lots of pointing and clicking. I found an old gaming chair in a storage closet and haven't had the same issues at all. Never looked back. Ergonomics should include what kind of work, duration, repetitive stress, monitor size, height, distance, body type etc.