Acanthus' designs all start out the ol' fashioned way––with a sketchbook and a Sharpie (that last part might not be so old fashioned). Joshua, who works at an independent tattoo shop is in charge of drawing, and Alyssa does the printing––she also has full veto power, we hear. Many of their designs are heavily inspired by classic tattoos––and they might take a couple test runs before they're just right, but when they are, Joshua and Alyssa know right away. And their fans do, too. Many of 'em buy duplicates because, well, when you wear a shirt every day it's bound to fall apart eventually.