This might be another Toy Soldiers Crew image but I'm not really sure. It's with a collection of their work but does not quite seem their style.
The thing that really caught my attention in this macabre portrait is the very striking resemblance to one of our national politicians.
Enough said.
Edit/Update ... the artist is Jayson Fox
Photo: Robert Rath, 'Day 933, Stark Raving Mad' 1/40s f/11 ISO160 17mm