For myself, I won't say it's hand drawn until I paint it IRL; but I'm obsessed with working my way toward all original assets, and learning the craft of everything I do.

For others, it's different. I now know using map drawing programs requires a lot of personal input; and when I see people totally smoke me using the same tools, I'm reminded that perhaps there is a bit more art to it than is assumed.

In general, I'd count tablet/mouse work outside of a program designed specifically for it hand-drawn by reasonable modern standards. Handling that in person, with pen, ink, and paint is incredibly "next level".

When I see that, I kind of associate it with mastery; a level of skill far beyond imagining. I don't think "hand-drawn" entirely covers that level. Perhaps a different term is needed.

Then again, I don't know what I'm talking about.