Heart Tattoo Designs Heart tattoo designs are a classic that never go out of style. The tribal heart, sacred heart, broken heart and celtic heart tattoos are among the top requested designs. A basic heart tattoo can signify love or purity. A heart tattoo design that includes wings represents a joyful, optimistic or free spirit. A heart tattoo that includes a rose usually represents romantic love. An heart tattoo with angel wings or a halo can stand for purity of spirit. Heart tattoos with a dagger, knife or sword symbolizes a heart in great pain. A broken or bleeding heart tattoo can symbolize extreme sadness and grief.