billc, what I ended up doing was this:
Edit
skin1/modules/Wishlist/wl_products.tpl
Find
{section name=product loop=$wl_products} on the page, and below it is:
<a href="product.php?productid={$wl_products[product].productid}&quantity={$wl_products[product].amount}">
{if $wl_products[product].is_pimage eq 'W' }{assign var="imageid" value=$wl_products[product].variantid}{else}
{assign var="imageid" value=$wl_products[product].productid}{/if}
{include file="product_thumbnail.tpl" productid=$imageid image_x=$wl_products[product].pimage_x
image_y=$wl_products[product].pimage_y product=$wl_products[product].product tmbn_url=$wl_products[product].pimage_url type=$wl_products[product].is_pimage}</a>
change to:
<a href="product.php?productid={$wl_products[product].productid}&quantity={$wl_products[product].amount}">
{if $wl_products[product].is_timage eq 'W' }{assign var="imageid" value=$wl_products[product].variantid}{else}
{assign var="imageid" value=$wl_products[product].productid}{/if}
{include file="product_thumbwish.tpl" productid=$imageid image_x=$wl_products[product].timage_x
image_y=$wl_products[product].timage_y product=$wl_products[product].product tmbn_url=$wl_products[product].timage_url type=$wl_products[product].is_timage}</a>
Then, I created
skin1/product_thumbwish.tpl and put the following code:
{* $Id: product_thumbwish.tpl,v 1.19 2005/11/17 06:55:36 max Exp $ *}
{if $config.Appearance.show_thumbnails eq "Y"}<img{if $id ne ''} id="{$id}"{/if} class="productthumbwish" src="{if $tmbn_url}{$tmbn_url}{else}{if $full_url}{$http_location}{else}{$xcart_web_dir}{/if}/image.php?type={$type|default:"T"}&id={$produc tid}{/if}"{if $image_x ne 0} width="{$image_x}"{/if}{if $image_y ne 0} height="{$image_y}"{/if} alt="{$product|escape}" />{/if}
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Note: class="productthumbwish" on skin1/product_thumbwish.tpl is my own CSS stylesheet (I turned my store into table-less CSS layout) - so choose your own style.
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If you "View Image" of the wishist thumb in your browser, the URL will look like:
yourdomain.com/store/image.php?type=T&id=6
Whereas, on the
products.tpl generated pages (search results, category thumbs) the URL is
yourdomain.com/store/images/T/thumbimage.jpg
I don't know what it's doing, or why, but at least there are now
actual thumb-size instead of modified full-size on the Wishlist page.

Simply smashing the size of a full-size image into a 75px space looked terrible on some browsers.