A system and method for creating custom concrete designs includes one or more textured concrete forms used to create concrete “tiles” with the desired surface appearance, generally mimicking the surface appearance of natural stone or other desired pattern. The method involves creating a plurality of cement tiles in the desired shape, pattern, and texture. These cement tiles are most preferably in the range of ¼″- 5/16″ thick using a proprietary cementious mixture poured into molds. The concrete used to form the tiles may be colored before it is poured into the form or it may be colored after the concrete has set. After the desired number of concrete tiles have been formed, they may be positioned and fixed in place so as to cover the desired area and create the desired effect for the selected application.