This design features a black and white illustration of a flower with leaves, surrounded by a circular text that reads "Fearfully and Wonderfully Made" at the top and "PSALM 139:14" at the bottom. The flower is detailed and appears to be a type of flower with a prominent center and multiple petals. The text is written in a casual, handwritten style, suggesting a personal or inspirational message. The overall design is simple yet elegant, with the text and the flower being the main elements.