With the help of Simulating hand-drawn lines, it seems that one gets better results (red lines) for this particular application using a square shape with percusse's decoration=penciline, and circles are better with Alain Matthes's \freedraw:

Code:
\documentclass{article}
\pagestyle{empty}
\usepackage{tikz}
\usetikzlibrary{calc,decorations.pathmorphing,patterns,shapes}
%% https://tex.stackexchange.com/questions/39296/simulating-hand-drawn-lines: percusse
\pgfdeclaredecoration{penciline}{initial}{
\state{initial}[width=+\pgfdecoratedinputsegmentremainingdistance,auto corner on length=1mm,]{
\pgfpathcurveto%
{% From
\pgfqpoint{\pgfdecoratedinputsegmentremainingdistance}
{\pgfdecorationsegmentamplitude}
}
{% Control 1
\pgfmathrand
\pgfpointadd{\pgfqpoint{\pgfdecoratedinputsegmentremainingdistance}{0pt}}
{\pgfqpoint{-\pgfdecorationsegmentaspect\pgfdecoratedinputsegmentremainingdistance}%
{\pgfmathresult\pgfdecorationsegmentamplitude}
}
}
{%TO
\pgfpointadd{\pgfpointdecoratedinputsegmentlast}{\pgfpoint{0.5pt}{1.5pt}}
}
}
\state{final}{}
}
%% https://tex.stackexchange.com/questions/39296/simulating-hand-drawn-lines: Alain Matthes
\pgfdeclaredecoration{free hand}{start}
{
\state{start}[width = +0pt,
next state=step,
persistent precomputation = \pgfdecoratepathhascornerstrue]{}
\state{step}[auto end on length = 3pt,
auto corner on length = 3pt,
width=+2pt]
{
\pgfpathlineto{
\pgfpointadd
{\pgfpoint{2pt}{0pt}}
{\pgfpoint{rand0.15pt}{rand0.15pt}}
}
}
\state{final}
{}
}
\tikzset{free hand/.style={
decorate,
decoration={free hand}
}
}
\def\freedraw#1;{\draw[free hand] #1;}
\begin{document}
\begin{tikzpicture}
\coordinate (A) at (0,0);
\coordinate (C) at (1in, 0);
\coordinate (B) at ($(C)!1in!-90:(A)$);
\draw (A) -- (C) -- (B) -- cycle;
\coordinate (A/u) at ($(A) + (30:1em)$);
\coordinate (A/d) at ($(A) + (-10:1em)$);
\coordinate (A/x) at ($(A) + (120:2em)$);
\coordinate (A/y) at ($(A) + (-120:2em)$);
\begin{scope}[decoration=penciline]
\draw[thick, fill=blue!25, fill opacity=.25, draw=red, decorate] ($(A)+(-0.1cm,-0.1cm)$) rectangle (0.1cm,0.2cm);
\draw[thick, draw=brown, radius=0.1cm, decorate] (B) circle (0.15cm);
\draw[thick, draw=blue, x radius=0.15cm, y radius=0.19cm, rotate=30, shape=circle, decorate,] (C) circle {};
\node [above left] at (B) {decoration=penciline};
\end{scope}
\end{tikzpicture}
\hspace*{0.3cm}
\begin{tikzpicture}
\coordinate (A) at (0,0);
\coordinate (C) at (1in, 0);
\coordinate (B) at ($(C)!1in!-90:(A)$);
\draw (A) -- (C) -- (B) -- cycle;
\coordinate (A/u) at ($(A) + (30:1em)$);
\coordinate (A/d) at ($(A) + (-10:1em)$);
\coordinate (A/x) at ($(A) + (120:2em)$);
\coordinate (A/y) at ($(A) + (-120:2em)$);
\freedraw[thick, draw=blue] ($(A)+(-0.1cm,-0.1cm)$) rectangle (0.15cm,0.2cm);
\freedraw[thick, fill=blue!25, fill opacity=.25, draw=red] (B) circle [radius=0.2cm];
\freedraw[thick, fill=blue!25, fill opacity=.25, draw=red, x radius=0.15cm, y radius=0.19cm, rotate=30, shape=circle,] (C) circle {};
\node [above left] at (B) {\textbackslash freedraw};
\end{tikzpicture}
\end{document}