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its like a steamer, but the inner area is pressurised, with a pressure valve that releases the steam at a certain pressure. There good for sterilising as they get much hoter than a regular steamer. There not neccessary but are helpful to have imo.
You can get by with a microwave and a steamer. But if your seriouse about the hobbie, its worth the investment. Keep your eyes on yard sales ext, as you can pick up a second hand one quite cheap(mine was free :-) )