Anything embossed and cut out is over the top for me. Really either of those alone is a lot for me. The layers in that dahlia are embossed and cut out. Dahlia card by Eva Davolos. Soda Shop by Carolyn Souhrada. Flowers by Donna Rolston and the bathtub card is by Janiel Hurd.
I'd say scissors are the common tool used here!