Faux Letterpress printing with Fiskars Fuse, see the GitHub wiki for project notes. This is how I printed wedding invitations, programs, etc. in 2015.
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This is what I ordered from Ponoko, on 384mm x 384mm x 1.5mm Delrin sheet. It is unnecessarily elaborate, as the only tool I really used was the large outline (with the center support removed by hand)