I've seen a few really cute heart twisters and they all start from just laying out your fabric to form a heart. So, say you are going to use a red and pink fabrics for the heart and a cream print for the outter area. Lay out your red and pink squares in the shape of a heart, then fill in the outer spaces with the cream print blocks until you get a square or rectangle of the size/shape you want. Then, start sewing your blocks together to form this as an entire "block" quilt and then start cuting apart the quilt using the twister ruler at each seam intersection.