A turret punch machine tool equipped with controlled automatic x-y axis workpiece movement mechanisms for moving the workpiece over a stationary work table section adjacent a punching station is provided with a separate laser beam generator and with a tool frame carried vertically retractable and extendable laser cutting head in optical communication with the beam generator. The beam generator is capable of producing both laser pulses of varying duration and spacing or a continuous beam. The cutting head is provided with two gas inputs one for use with the continuous beam, a second for use with the pulse beam, and controls are provided to automatically provide varying combinations of use of the punch and laser.