For even larger diameter and heavier work, such as pressure vessels or marine engines, the lathe is rotated so it takes the form of a turntable on which parts are placed. This orientation is less convenient for the operator, but makes it easier to support large parts. In the largest, the turntable is installed flush with the floor, with the headstock recessed below, to facilitate loading and unloading workpieces.

Most CNC Swiss-style lathes today use one or two main spindles plus one or two back spindles (secondary spindles). The main spindle is used with the guide bushing for the main machining operations. The secondary spindle is located behind the part, aligned on the Z axis. In simple operation it picks up the part as it is cut off, and accepts it for second operations, then ejects it into a bin, eliminating the need to have an operator manually change each part, as is often the case with standard CNC turning centers. This makes them very efficient, as these machines are capable of fast cycle times, producing simple parts in one cycle (i.e., no need for a second machine to finish the part with second operations), in as little as – seconds. This makes them ideal for large production runs of small-diameter parts.

Since the maturation of CNC, the implicit dichotomy of "manual versus automatic" still exists, but because CNC is so ubiquitous, the term "automatic" has lost some of its distinguishing power. All CNC machine tools are automatic, but the usage in the machining industries does not routinely call them by that term. The term "automatic", when it is used at all, still often refers implicitly to cam-operated machines. Thus a -axis CNC lathe is not referred to as an "automatic lathe" even if fully automated.

The development of numerical control was the next major leap in the history of automatic lathes—and it is also what changed the paradigm of what the "manual versus automatic" distinction meant. Beginning in the s, NC lathes began to replace manual lathes and cam-op screw machines, although the displacement of the older technology by CNC has been a long, gradual arc that even today is not a total eclipse. By the s, true CNC screw machines (as opposed to simpler CNC lathes), Swiss-style and non-Swiss, had begun to make serious inroads into the realm of cam-op screw machines. Similarly, CNC chuckers were developed, eventually evolving even into CNC

In a single-spindle machine, these four operations would most likely be performed sequentially, with four cross-slides each coming into position in turn to perform their operation. In a multi-spindle machine, each station corresponds to a stage in the production sequence through which each piece is then cycled, all operations occurring simultaneously, but on different pieces of work, in the manner of an