Needlework design is a form of art that involves the use of needles and thread to create intricate designs. The term 'needlework design' can refer to a variety of different crafts, such as embroidery, cross-stitch, and quilting. One example of needlework design is tattooing, which is a 6-letter word that can be used to solve the crossword puzzle. Tattooing is a form of body art that involves using needles to inject ink into the skin, creating a permanent design.