Create rhinestone patterns for T-shiets, fabric or other media
Cut out your rhinestone patterns (Designer Edition or higher required for Silhouette)
Spread rhinestones into the template
Pick up using HotFix or other transfer tape, and transfer onto your media
Use heat to activate the rhinestone glue backing
Find Rhinestone products here
Here is a cheat method: Use glitter HTV to cut your pattern/design and simply iron onto the T-shirt. It gives a similar effect and reduced cost/effort