For some reason, the only thing that comes to mind here is Dahmer - that disturbs me. In fact, this whole image really disturbs me - I have debated putting it up for quite some time, but here it is anyway. Sorry 'bout that.
This image was mailed to me by Rick Hamell... he apparently picked it up off of alt.binaries.gothic a couple of years ago. As far as credit to an artist is concerned, neither Rick or I have any idea (any clues? let me know).