Most of the monograms here on Houzz are on pillows. I think this bed's a good example of how monograms work well in a room. The monogram, starburst, and floral pillow are all feminine, but not overly so, and they're balanced by the stark lines of the bed.
The pillow in the forefront of this photo has a great damask design. The velvety texture of the fabric practically leaps off of the pillow's soft background. The effect is particularly dramatic because of the black-on-white color choice.