A quilt trail is comprised of quilt block designs painted on weather-resistant boards installed outside at various locations along a designated route. These trails, recognized as popular tourist destinations, started in Ohio in 2003 and quickly spread because of their colorful and nostalgic appeal.

Local history, city art, and heritage crafts come together on the Foothills Quilt Trail, where colorful quilt blocks add charming touches to Landrum's traditional storefronts. Each unique block carries its own story, perhaps linked to the history of its site, business, the family hosting the block, or a pattern in a treasured quilt. While many blocks are prominently displayed, others require a look at the sides or rear of buildings.