Simple on point layout, gorgeous results.
Amazing techniques are available now which were not available when I started quilting, and pretty much any block design can be made up using your favourite technique.
That dainty block I have used as a filler in the background would have been appliqued, and still could be, but I think I would illustrate it with permanent markers or pencils, or more likely a combination of both. It could also be machine quilted in coloured threads, embroidered by hand or machine, painted, screen printed or even printed onto fabric using a printer at home.
And no, I am not two hundred years old!
I started quilting in the mid 1980s.
(The only long arm quilting then was in a mattress factory.)
One thing stays the same … it will look great on a bed and will keep somebody warm.
Any shape with straight sides can be cut with a rotary cutter and ruler, curved pieces can be pieced together by machine, any applique design can be fused or needle-turned or whatever combination you want to do … designers will write instructions for the technique they think is most suitable but you do not have to follow instructions.