With a hex grid, a copy of TSR's World Builder's Guidebook, a portable drawing board, Troll Lord Games' Book of Extraordinary Names, a set of Prismacolor pens, an Ames lettering guide, a T-square, some dice, a drafting triangle, pencils and some masking tape. Oh, and five hours.
All of which I used to make this:
Of course I'm not satisfied with it!!