The term "crazy quilting" is often used to refer to the textile art of crazy patchwork and is sometimes used interchangeably with that term. Crazy quilting does not actually refer to a specific kind of quilting (the needlework which binds two or more layers of fabric together), but a specific kind of patchwork. Crazy quilts rarely have the internal layer of batting that is part of what defines quilting as a textile technique.

Combining the Crazy Patches

Regular patchwork combines the pieces of fabric into a predetermined and regular design, but crazy patchwork uses irregular pieces of fabric on a foundation fabric or paper. This may create haphazard-looking and asymmetrical designs, or the designer may use some control in placement.

Patches can be hand appliquéd onto a base fabric. This method gives the most variety as every patch is unique. There are also block patterns designed for crazy quilt that can be sewn by machine.

Sometimes part of a crazy quilt is haphazard while other parts are placed in a planned pattern. A common example of this the placement of patches in a fan pattern.

The patches and seams are then usually heavily embellished.