See if there is an alternate driver for the digitiser. Likely the driver is simulating left mouse button with pen pressure?
Also try a Linux Live USB stick boot, though out of the box Debian didn't do screen rotation of touch correctly on the Windows 10 Tablet (touch only) or with Linux Mint on Lenovo X201 laptop/tablet (rotating & folding touch screen with Wacom digitiser), though there is supposedly a script to fix it for the X201, but I've not bothered.
I might not have used MS Paint since NT 4.0 & Win 98 era? I used Aldus Photostyler, then Paint Shop Pro, 4 to 7 before switching to The Gimp in Nov 2016 (switch to non-floating GUI, classic icons, system theme and non-grouped tools for a more familiar experience. The defaults are mad.)
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