Uncomfortable's Advice from /r/ArtFundamentals
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canuckpopsicle in the post "Are the marks on the ellipse template the only possible minor axis? Explain question in the comments"

2021-12-06 09:27

I believe those extra marks are for when you're drawing a circle on a flat surface that's angled away from you. Example, drawing an oblique cube, you'll use the 45° ellipse, place that mark vertical on the side of the cube (not front or top of cube), center your circle where you want it, and use your pencil/pen to draw the circle. Viola.

Use the 60° one for isometric angled objects, so on and do forth.