You can still get custom made patches from BSA Supply. It isn't easy, but they are get-able.
I think that the last paper catalog you could look through was in 2006. Back then, you could pick out a design and add 2 lines of text. The minimum was 12 badges.
BSA Supply still offers them. New designs too. Since there is no paper catalog and nothing on ScoutStuff.org, you have to ask. Until they overcome that small issue, it is worth the effort.