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An altered book dedicated to
Tom Petty's album Wildflowers
made from a recycled board
book with the lyrics included
under liftable flaps.
An altered board book about
mermaids that I made as a
gift for my daughter.
A fabric altered
book celebrating
the color red.
Random altered
book pages.
Tip-in pages made for a
Buffy the Vampire
Slayer themed swap.
What is an altered book?
It is any book old or new that has been recycled into a work of art.  
Altered books can be painted, stamped, drawn on, collaged, sewn,
torn, glued, cut, punched, or altered in just about any way you can
think of to create something new.