Otomi embroidery is a technique created with a satin stitch over freehand drawings by the Otomi people of central Mexican Plateau in towns such as Pahuatlán, San Nicolás, and Tenango de DoriaThe designs are filled with symbols based on native flora and fauna, local beliefs and even primitive cave drawings found in the Hidalgo region where many of the Otomi reside.

Animals, often thought to be the bearers of important news; stars representing the cardinal direction; flowers and plants representing fertility and nature and even spirits adorn the pieces which are then made into tablecloths, bed linens or wall hangings to sell at the local markets.

Although there is often symmetry in each piece, no two pieces are identical, just as no two motifs within a piece are identical due to the importance of hand sketching the initial design.