I have tried to protect my clients (and myself) from spam using somewhere around 10-15 different methods over the past 7 years, none of them compare to what this plugin has done. I have everything setup very simple too, addition only with numbers and words. It stops ALL of the spam! Every last bit of it.
Thanks guys!! The world needed this one bad!
P.S. To those having problems... Follow the moto "KISS" I'll let you figure that one out. The more options you choose the more chances you have of something going wrong because of other plugins or themes.