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I am in agreement with you, I would love to have fine grain control of pixels in Tableau, but that is currently not the case. You can adjust row height on the worksheets by sizing the header. There are also some techniques for taking content that is normally in two sheets and make it all displayed in one, this may not work in all cases. If this does not work for you, or you would like to see an example, please provide a packaged workbook that represents your situation.