In this letter, using the active dual-mode twisted string actuation (TSA) mechanism and tiny tension sensors on the tendon strings, an anthropomorphic robot hand is newly designed in a compact manner. Thanks to the active dual-mode TSA mechanism, which is a miniaturized transmission, the proposed robot hand dose has a wide range of operation in terms of the grasping force and speed. It experimentally produces maximally the fingertip force 31.3 N and minimally the closing time of 0.5 s in average. Also, tiny tension sensor with the dimension of 4.7 (width) × 4.0 (height) × 10.75 (length) mm is newly presented and embedded at the fingertips in order to measure the tension on the tendon strings, which would allow the grasping force control. The kinetic and kinematic analyses are performed and the performance is verified by experiments.