You can map out your design first on graph paper or an online pixel grid, then code each pixel.
Example - A small heart:
set_pixel(2, 0, Color.red)
set_pixel(3, 0, Color.red)
set_pixel(1, 1, Color.red)
set_pixel(4, 1, Color.red)
set_pixel(0, 2, Color.red)
set_pixel(5, 2, Color.red)
set_pixel(1, 3, Color.red)
set_pixel(4, 3, Color.red)
set_pixel(2, 4, Color.red)
set_pixel(3, 4, Color.red)