 She created over 50 buckskin dresses, adorned with fringe tipped with metal cones, medallions set in horizontal rows of beads, and leaf motifs, taking care to balance the elements in the overall composition.During her lifetime, Littleman was honored as one of the premier Kiowa beaders and dressmakers, with other artists often claiming kinship ties to her.Journalist Suzette Brewer compared her skill to the artistic masters Van Gogh, Rembrandt, and Picasso, stating "Alice Littleman is to Southern Plains beadworking what these masters are to painting".