How to do this in carbide create?

[WillAdams (William Adams (Carbide 3D))]

If you want to cut it as various sized dots see:

Halftone generator on Cutrocket

This was announced/demoed in a limited way a while back — had occasion to reference it in a support ticket recently, so here’s the text from that: We have a halftone generator which will accept black and white images, so you will need to convert any image into a black and white picture. That is the only type of picture the generator will accept. Help file: Halftone Generator - Help

There are various other programs/techniques.