Atomizers are ceramic diffusers with smaller pores, resulting in much smaller bubbles and therefore higher efficiency. They do kind of give the tank a alka seltzer look, which some people don't appreciate. The efficiency is touted as being extremely high, and in my experience using them they work well enough, comparable to many reactors. The the difference in required pressure between atomic diffusers and normal ceramic diffusers comes from the smaller pore size, as you need more pressure push the co2 out. Any actual regulator will be able to create the pressure needed to get them to function.