For the uninitiated, stickers are essentially a UI layer on top of image sending. Each user has a collection of stickers which they can add images to. This collection can be scrolled through quickly and any sticker can be sent to a chat with a tap, like a sort of custom emoji. Other users who see a sticker can add it to their own local collection by tapping on the sticker message. I see no technical reason why this couldn't be built on top of the Signal Protocol.