Yea I was told to try Affinity so I dled the trial version.
Also clip studio which is on sale right now.
There are some videos on Youtube of how to do it with PS but they say Affinity is better than PS when doing this type of stuff. Will have to watch some videos later to see. Affinity isnt that expensive at least. It looks like Affinity bought drawplus and discontinued it more or less.
Clip Studio is an amazing piece of software, if your focus is drawing and painting. It also can do vector paths, but I don't think it would be the right choice for this particular work. Clip Studio is more like Photoshop.
The comparison between Affinity (Designer) and Photoshop is misleading because the two programs aren't comparable. It's like comparing Illustrator to Photoshop. What's really being said there is that for this kind of work, vector software is better than raster software. Photoshop being raster. Affinity Designer being vector. There's also Affinity Photo which is a raster program and is similar to Photoshop.
Affinity didn't buy DrawPlus. Affinity IS DrawPlus. The company is called Serif. They'd developed DrawPlus, PhotoPlus, PagePlus, WebPlus, etc for many, many years. One day they decided to get cute with marketing and essentially rebrand their products and steal some Mac thunder. So they abandoned the old products (and all of us users) and came out with the Affinity line, first on Macs. They apps look beautiful rather than the ugly Plus line. Affinity Designer is probably 85% the same as DrawPlus, but has some new tricks and slick interface, but also missing some critical features and functionality that was in DrawPlus. Personally, I'm still a bigger fan of DrawPlus (for t-shirt work) but for the art you attached above, either one is perfectly suited.