going by what you said you could do a profile quilt.
Take a plain background light color, then cut your western theme "profiles" out of black. then you could even raw edge applique (the more washing it gets the better it looks I think) them onto the block and then do some red fabric like this
[img]
http://img3.imageshack.us/img3/5046/redbandana.jpg[/img]
for sashing!
simple looking but very unique!