So, back when I had full use of two hands and all 10 fingers, I did some cross-stitch using the same technique as the project I made for my brother. Mainly, figure out what I want to do, find images online that suited my purpose, map it out on graph paper, then create the pattern on a spreadsheet.
This one was for coworker Heather who was having a birthday do on the day of the 'land hurricane' in the Midwest. She loves both Magritte and Super Mario Brothers, so I knew of shirts, etc. combining the two:
A little after this the coffee shop in my office building changed their menu above the counter. I regularly check their Twitter feed for soup of the day, so I thought I could add something to increase their followers: