Heres what little I know of the spotlight. I had to rely on the popups that Zbrush provide as there isn’t any written documentation, yet about lights. (besides Southern’s tut)
Here’s a model with the default 2 sun lights.
Edit!
Model by Kurisu!!! Doh, Sorry!

:small_orange_diamond: To figure out how spotlights work I turned off everything (global ambient, and the second sun-light and changed the first light to a spot. I turned up the intensity and radius to full.
[img]http://www2.zbrushcentral.com/zbc_uploads0/user_image-990614001tno.gif[/img]
:small_orange_diamond: Everything goes blah. So I fiddle around with the placement sliders and figure out the Z_Pos needs to be brought forward, (Z_Pos slider moved to the left). To my knowledge, a spot light usually consists of two points: a spot-lights emination point, and the spot's target. I figer that the wee-square box in the light placement is an X-Y representation of the actual spotlight and that you move the square around to position the light and then use the XYZ_Pos sliders to move the spot's-target around, left-right & up and down and in & out. I guess the Z_position of the actual spotlight is the same Z-distance away as the "camera" (our view) and you can't move it closer.
[img]http://www2.zbrushcentral.com/zbc_uploads0/user_image-990614115xzr.gif[/img]
In the pic above I put the spot above the model to create a moody look but I get strange light patches where I wasn’t expecting the light to hit - light under the nose and nostrils, light on top of the eyeballs and light inside the ears.
[img]http://www2.zbrushcentral.com/zbc_uploads/user_image-990614568suu.gif[/img]
:small_orange_diamond: It's then that I find the placement click and drag button. :) :) :) Its the long vertical button with a P on it beside the XYZ sliders. I click-&-hold and drag the cursor onto the model to place the spots XYZ-target. Suddenly the lights went on in my head! Ping! (trust Pix to make it so damn easy!) After that,I found if you move the wee-square in the light-placement closer to the spots target it gets brighter, (naturally). Once the hot-spots are found and the light is bouncing into the "camera" (our view), it's then that I reduce the intensity and radius to how I like. This is the main reason I use spots, is to create "Hotspots" on the object.
[img]http://www2.zbrushcentral.com/zbc_uploads/user_image-990614169iiy.gif[/img]
:small_orange_diamond: I have a wee play around with the point light type and get more strange results, with light seemingly coming from inside the ear. Weird.
Could someone please explain the difference between a spot and a point light? Or whats the difference between a point and a sun? 
Upham. 