You can also use something like this:
https://www.quiltingmadeeasy.com/quilting-on-a-roll/
You can also trace your own designs as noted above. I like to trace mine onto freezer paper and then iron it on the quilt top, then add pins to help keep it in place during manipulation. If you're doing a repeat pattern likes leaves it can be done by drawing one on your paper and fan folding multiple times the length of the design, then stitch through the multiple folded paper on the lines of the tracing(without thread in the needle and not on your quilt top).
Take and carefully pull apart and you have a line to follow to now stitch along. You need to carefully choose your design so they link up when you do this but it can be done. PM me if you need a more detailed description.