It´s a boy, card made with cross stitch.
Pattern in bakground made with https://www.walmart.com/ip/docrafts-Xcut-Universal-Embossing-Folder-6-by-6-Small-Polka-Hearts-Multi-Colored/44438972
Using the Sizzix Big Shot https://www.ciliinpapers.se/product.html/sizzix-big-shot—white–gray