I made one by hand years and years ago, in fact, that's how I learned to do a Cathedral Windows quilt. I did it with small running stitches and whip stitched the flaps down. I started another one about a year ago and tried to do it Eddie's way on the machine but I found that trying to maneuver this queen sized quilt through the machine gave me a lot of trouble (may have been a matter of teaching an old dog new tricks!) At any rate, I love to hand stitch so I usually have 2 quilts going when I make a Cathedral Windows--one (not a Cathedral Window) done by machine and the Cathedral Window I do slowly in front of the TV. Just depends on how fast you need to get it done :D