Примерно так:
<style>
body {
margin: 0;
min-height: 100vh;
position: relative;
}
.krug {
width:100px; height:100px;
background-color:#99F;
border-radius:50%;
margin:10px;
}
.cont-in {
display:inline-block;
}
.cent {
width:150px; height:50px;
background-color:#99F;
transform:rotate(-45deg);
position:absolute;
top:90px; left:50px;
display:inline-block;
}
.cont-out {
width: 260px; height: 260px;
position: absolute;
left: 0; top: 0;
right: 0; bottom: 0;
margin: auto;
}
</style>
<div class="cont-out">
<div class="cont-in">
<div class="krug"></div>
<div class="krug"></div>
</div>
<div class="cont-in">
<div class="krug"></div>
<div class="krug"></div>
</div>
<div class="cent"></div>
</div>