What operating system and keyboard layout does this desktop include?

It comes with Windows 11 Pro and an English (US) keyboard.

Does this Lenovo ThinkCentre neo 50q Gen 5 come with a monitor?

No. The product specifications state that the monitor is not included.

Questions & Answers: Lenovo ThinkCentre neo 50q Gen 5 13B90031US Tiny Desktop - Intel Core 7 240H - 16 GB - 512 GB SSD - Windows 11 Pro - IEEE 802.11ax Wireless LAN - 135 W

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Item#: 1VK-0003-1SW18
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Lenovo ThinkCentre neo 50q Gen 5 13B90031US Tiny Desktop - Intel Core 7 240H - 16 GB - 512 GB SSD - Windows 11 Pro - IEEE 802.11ax Wireless LAN - 135 W

Classic meets modern with these powerful, smart, and stylish desktop and all-in-one PCs. Easy to manage and energy efficient, they're ideal for the modern workplace, wherever that may be. Made with eco-friendly technology and materials, including recycled plastic packaging, they're everything a forward-looking business needs.

$1,459^.00 –