I have started one, not gotten far, but plan to keep at it, love it! I started out doing EPP on this & the other, bigger, Millefiori quilt, but lately have been piecing them by machine. Have also pieced some by hand, no papers used. I think you can do it however you want. Right now I am just playing with putting some rosettes together, haven't attached any together yet. They are fun, & actually much faster by machine... but any method works greater. I started playing with another one this week, & here is my progress so far! Love these, they are so much fun to do! Am thinking of doing mine large lap size too, as I don't need another big quilt at my house...