Looks like an album cover. Sort of a cross between Clive Barker, Marilyn Manson, and Tim Burton.

Hot Topic-chan evolved into Trve Kvlt-chan

So f'ng metal.
If it were a real cover, it would be something like mix of satanic, death and gothic metals.

So metal my dick just spewed molten iron.

MD5 mismatch of http://pbs.twimg.com/media/DftwUAMXkAAiQ4V.jpg:orig