There seems to be three different levels of impressions there. Cookiecad can only do two levels at the moment. To create this you would need an image that has the same patter of circles and diamonds in black on a white background. See here for an example: How to make a 3D printed texture sheet using Cookiecad
ok thank you Nathan, loving all the features, is it possible one day to do beveled edges for the cutters and imprints at all