The design features an intricately decorated pink skull as the central subject, with elaborate swirling patterns embossed across its surface. Behind the skull is a background of delicately sketched floral and leafy elements, with two crossbones formed from outlined floral motifs intersecting behind the skull. The entire piece has a circular composition with a balance of bold, filled embroidery in the skull and finer linework in the florals and foliage.