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I have a much better hit rate when I sew from patterns than when I make up patterns from scratch, but I still get a bit overwhelmed when I'm in the fabric store and I'm trying to choose a pattern to buy, especially a pattern to make a garment for me. It's hard to know from the pictures in the big pattern books which designs fit well or have good instructions. And when they cost upwards of $10 each, I'd rather not fork out for too many duds! That's where I've found that Pattern Review really helps. It is kind of like a Ravelry for sewing patterns. There is a searchable database of patterns and when people make up a garment from a pattern they can post pictures of the finished product and write a review. It can really help you narrow down just which cross-over top pattern or A-line skirt pattern is going to turn out how you want it.
Just last week Pattern Review did a round-up of their most popular patterns of 2008. Read the list here and join up to become a member (it's free!) and get on their mailing list here.
What other resources do you know of that can help us crafters pick out the gems in a sea of patterns?