all i want to know how in the world people make these??

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Using programs like Starforge or Scmdraft.
Pears said almost everything you need to know
but anyway mess arround with the tiles in the pallet and then you can come up with some interesting things (waterfall) and you use sprites to cover up or make it look better...
next time search the forum... There has been WAY to many How do I make terrain/Waterfalls threads...
Pears experimenting with doodads, 1x1 to isom tiles, and creating works of art using these experiments. Alot of work but alot of people seem to do it. Mostly just experimental never really used in maps which seems a shame.
You don't need or want to know how. If you find out, most likely you will make one and another kitten will die.
You don't want to be the culprit responsible for another dead kitten.