As neck tattoo image designs go, hearts are very popular. Sometimes they are made into tribal tattoos or combined with other graphic elements like roses, lilies, and vines. They can be paired up with skulls, crosses, stars, moons, and suns. Hearts can be made to have different effects with different colors: a black heart will have an entirely different “vibe” from a pink heart. Single hearts behind the ear are popular neck tattoo image designs, but they can be made into “necklaces.” Hearts are simple to draw and are easy for a talented tattoo artist to make in any size. Hearts are also commonly paired with stars.