The form of traditional quilt-making commonly practiced in the Appalachian Mountains is Patchwork quilting.

Patchwork quilting involves sewing together various fabric pieces to create intricate designs and patterns, often using scraps from old clothing or other materials. This art form is deeply rooted in Appalachian culture, reflecting both practicality and creativity. Each quilt tells a story, with unique patterns that may hold personal or historical significance. Appalachian quilts often feature vibrant colors and geometric designs, showcasing the skill and artistry of the quilters. This tradition not only serves as a functional craft but also as a means of preserving cultural heritage and community bonding within the region.