Fancy ones are made from finished pieces of art. You can use any kind of top; appliquéd, pieced, painted - whatever your medium is as long as the basis is fabric. Please keep in mind that they will be stitched onto a quilt so they need to be sewable.
Baste the layers together, quilt (or not) and cut. I have used one of my yarn pieces for the samples.
Low loft, non-bearding batting
Proceed as for the plain ones. It might be easier to draw the circles onto the light backing. This step was kind of scary.
Please do sign them on the back.-)