All provided templates are in MV format, and just following them will let you create resource for MV in the correct format with no additional hassle. Edited or new tiles can be used directly in RPG Maker MVAs an official MV tool, SAKAN can be started directly from MV, and get access directly to the game you are building, letting you edit or add images to it. If you prefer you can indeed use the pen and write your own dot picture, or build up animations too.
Using the thousand more parts delivered with SAKAN, you can customizing the tileset delivered with MV, or build your own original one, all without having to any dot by dot paiting. About This Content SAKAN, Perfect tool to make your own original TilesetSAKAN is built to let you create tilesets ready to use in RPG Maker MV.