Designing from the Inside Out
Start with what the monster wants, then build outward to what it is. A monster whose hunger is for warmth rather than flesh has a completely different behavioral profile from one that hunts by sound or is drawn to grief. The external design (appearance, size, method of movement) should be a logical expression of the monster's internal nature and its hunting behavior. A predator that uses smell should be designed around concealment from visual detection. A monster that requires proximity should be terrifyingly fast. Let the creature's nature determine its form.