A little research reveals - Audaciously Embedded (in spite of my better judgement) by Alison Davies..... Made of recycled fabric including shirts and boxer shorts. Machine pieced, hand quilted. Amazing!!
I Spy quilt - sort of a cheater quilt in that it starts with a pre-made plain white quilt. Then the hexagons were appliqued on. The maker machine quilted them on and said it was a lot of work. For me, I'm guessing I'd hand sew them on.