This reminds me when i worked on an open world game ~12 years ago. I implemented spline-based "stripes" (think long decals), mainly to be used for roads (though could also be used for smaller things like blood trails) and i added a button in the editor to align the terrain with the stripe with a configurable falloff so that it transitions smoothly from the stripe to the surrounding terrain - and optionally you could use a (grayscale) texture to modulate the falloff so that the transition isn't completely smooth.
Next thing i knew, the environment artists had started using stripes to sculpt the terrain :-P
You're Bad Sector from the Rome.ro forums (way back when those existed), aren't you?
Yes, that'd be me :-)