To me, I Spy quilts can be made/used in two ways. The first is a simple take off from the children's game "I spy with my little eye..." Game: you name an item pictured in the quilt and the child searches to find it. Teaches the child colors and nouns. The second is when an I Spy quilt is made with 2 of each item, and the child finds a named item and the second one that matches it.