I own a computerized quilting machine. There are so many different patterns you can buy or you can digititize your own. I do both. I also use it free hand. It takes just as much artistic talent to apply a computerized quilt design on a custom quilt as anything else. By the way it is a lot of work also. Digitizing a design can take days or weeks to do. Applying it on the quilt takes a lot of time to set up.
Many computerized designs were adapted from other non computerized designs. You can always take the concept or a part of the design you see and adapt it to your needs. That is what I did when I machine quilted on my domestic.
I think a lot depends on what you are interested in at the time. One day it isn't of interest and another day it will be. That happens to me a lot! Just depends on where you are in your learning cycle.