The heart was cut with the Sizzix Puzzle AND largest Sizzix heart. Since the puzzle was a tiny bit smaller than the heart, I had to be VERY inventive to get the tip of the heart done! <p> On the inside, you can't see it well but the verses inside are printed on vellum and embossed with clear embossing powder the moment they came out of the printer. I was getting ready to punch holds to thread ribbon when I got the idea to continue the puzzle theme! The puzzle pieces holding the verses are parts of the Sizzix Puzzle Frame.