Hi Melissa, a Biblical Quilt are designs inspired by the Bible of the Old and New Testament, for example Noah Ark, Jacob's Ladder, Daniel and the lions etc, there are lots more, you cut out the pattern sew them together and applique, also i added more to the quilt than what the pattern call for., there are several books out there can explain it better than i can, by Rosemary Makhan More Biblical Quilt Blocks, if you're are interested let me know and i will give you some websites, i went to several websites to find everything i needed, my blocks finished 12" hope i help.