Apart from me, my partner also does graphic design, and unlike me she values her sanity more then open source so she uses illustrator for her designs. In adobe’s walled garden world of proprietary software it is still the same story, you generally use the specific tools to get regular shapes (or patterns) and then alter them after the they are drawn. You don‘t draw them from scratch. If you are familiar with modular analog synthesizers, this is starting with a square wave, and then subtracting to modulate the signal into a more natural sounding form.