I've gotten my medium tall down jacket. I think I'm going to return it, mostly because the fit isn't quite there. I'm 6'2" and 170 lbs with a short torso, narrow shoulders, and *very* long arms. Most "tall" sizes are made by adding 1" to the sleeves and 2" to the body of the regular size. What I usually need is 2-3" added to the sleeves and nothing added to the body. So, the Land's End jacket has an awkwardly long torso on me (it actually sticks out the bottom of my medium tall Marmot PreCip), has low armholes, and doesn't quite reach my wrists. It's also boxy in the torso, but I suppose that wouldn't be so hard to tailor in a bit myself.
In any case, my girlfriend informs me that the jacket makes me look like an uninspiring lump, so it's going back. I'm picky when it comes to fit.