It's all about contrast. A kid that kills, and pretty colors for something disgusting. That's the sort of contrast this design has.
I did all of this in ballpoint pen watching Enter The Dragon and So I Married An Axe Murderer, hence the claw marks and big heed. I like the color palette Liberatore uses in the Ranx books, they work really well on guts. This would be best printed on a natural or off white tee.
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UPDATE: We just put this design up for voting at Shirt Fight, It has 6 days left so if you want a chance to own it on a shirt go vote!