This was done for Julie's hope you can cling to challenge seen here. ( make a smooshed background) This background was done with some watercolor paper and dylusions ink & water when it was dry it was die cut with the Tim holtz sizzix trellis die and I scrambled the pieces. I used the negative parts to line these up like a stencil with removable adhesive and left a space to put the sentiment on. I'm sure anyone undergoing treatment would be able to park this on their mantle or somewhere else in their home for a laugh when company drops in. this one is 5 1/2" square in real life.