This document outlines the 14-step process that a group of librarians and medical professionals used to create an educational comic book about difficult medical conversations for a special issue of a journal. It describes each step from getting the initial invitation to illustrate the text, assembling the necessary tools and team, collaborating to develop the content and visual style through multiple revisions, and finally publishing and promoting the finished comic online and within the journal issue. The goal was to explore comic creation as an innovative role for librarians to engage patients through an accessible format.