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Custom Tattoo Design Studios in St Louis, MO

7 of the 48 tattoo shops we list in St Louis have custom design work.

Map search doesn't separate shops that only tattoo pre-made flash sheets from shops that build a one-of-a-kind piece around your idea — that distinction isn't a searchable field, it's buried in a portfolio you have to dig for. Every shop listed here has custom design work confirmed from its own website or portfolio, not guessed from star ratings.

  1. Arch Nemesis Tattoo & Piercing

    4255 S Kingshighway Blvd, St Louis, MO 63109-2422

    Tuesday - Saturday 12-7pm

    Walk-ins welcomePiercingCustom designAppointment only
    Call Website Directions

  2. Enigma Tattoos and Body Piercings

    6635 Delmar Blvd, St Louis, MO 63130-4544

    Walk-ins welcomePiercingCustom designCover-ups
    Call Website Directions

  3. Self Inflicted Studios

    1325 Washington Ave, St Louis, MO 63103-1918

    Monday — Saturday: 12:00PM - 9:00PM

    Walk-ins welcomeCustom designCard accepted
    Call Website Directions

  4. Dream House Tattoo

    1800 Chouteau Ave, St Louis, MO 63103-3002

    Tue-Sat 11am-7pm

    Custom designAppointment only
    Call Website Directions

  5. Alchemy Tattoo Collective

    4530 Olive St, St Louis, MO 63108-1815

    Walk-ins welcomeCustom design
    Call Website Directions

  6. Steel and Ink Tattoo Studio

    3565 Ritz Ctr, St Louis, MO 63125-4841

    PiercingCustom design
    Call Website Directions

  7. Trust Tattoo Company

    4636 Gravois Ave, St Louis, MO 63116-2446

    Custom design
    Call Website Directions
Bring reference images, not just a description. Real custom work usually goes through at least one revision round before the appointment, and most shops charge a separate design fee or deposit that's applied to the final tattoo cost — expect that upfront, not as a surprise at checkout.

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Good to know

How much does a custom tattoo design cost?

Many shops charge a flat design fee (often $50-150) or a deposit that's later credited toward the tattoo price, on top of the hourly or per-piece rate for the tattoo itself. Large custom pieces like sleeves or back pieces are usually billed hourly rather than as one flat price.

How long does it take to get a custom tattoo designed?

Simple custom pieces can be sketched and approved within a few days to a week, but in-demand artists who focus on original work are sometimes booked weeks out just for the design consultation. Ask about current wait times when you book, since it varies a lot from shop to shop.