Yes. Now you - a generic person without any specific skills - just have to search for someone who is willing to sew knockoff clothing to your specification, ship them the item, and wait for them to get back to you - a month or longer, probably, as they are likely based in China and shipping things by boat - while hoping that your cursory search led you to an honest knockoff manufacturer, who won't just take your money and disappear.

I'd say that it still qualifies as a "truly astonishing amount of effort" when compared to the right-clicking and pressing save method of copying digital art.