Tall Shisha “hit harder”, or deliver easier draws, than small hookahs.

If all of these openings are large, air can pass through them without resistance, and the draw on the shisha is easy. If these holes are small, there will be constriction in the air pressure as you’re trying to move air through the hookah, creating a “tight” or “hard” draw. Therefore, as long as the openings of the shaft, downstem, hose connector, and hose are similar between a tall and a short hookah, they will smoke the same.