Custom Tattoo Design Studios in Winston-Salem, NC

7 of the 33 tattoo shops we list in Winston-Salem 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.

Art Attack Tattoo LLC PiercingCustom designCover-ups

3656 Reynolda Rd, Winston-Salem, NC 27106-2230

🕒 Tues - Sat 10am

+13369244658 Website Directions

Big Con tattoo supplies Custom design

2414 W Clemmonsville Rd, Winston-Salem, NC 27127

+13369972203 Website Directions

Black Widow Tattoo Walk-ins welcomePiercingCustom design

1245 W Clemmonsville Rd, Winston-Salem, NC 27127-4790

+13363313440 Website Directions

Dark Roots Tattoo Co. PiercingCustom designCard accepted

1010 W Northwest Blvd, Winston-Salem, NC 27101-1105

🕒 Monday Closed Tue - Sat 12:00 pm

+13368425005 Website Directions

Earth's Edge Walk-ins welcomePiercingCustom designCover-ups

1800 Silas Creek Pkwy, Winston-Salem, NC 27103-5144

🕒 Mon 12:30pm-8pm, Tue 12:30pm-8pm, Thu 12:30pm-8pm, Fri 12:30pm-8pm, Sat 12pm-8pm

+13367271663 Website Directions

Evil Twin Artistry Salon Custom design

615 Saint George Square Ct, Winston-Salem, NC 27103-1356

🕒 Mon 10am-8pm, Tue 10am-8pm, Wed 10am-8pm, Thu 10am-8pm, Fri 10am-8pm, Sat 6am-6pm, Sun 11am-5pm

+13368449104 Website Directions

Tattoo Archive Custom design

618 W 4th St, Winston-Salem, NC 27101

🕒 Noon-8pm daily except Sun

+13367224422 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.

Also in Winston-Salem

Piercing Shops8

Custom Tattoo Design Studios near Winston-Salem

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.