Yikes, that's a wonderfully dark picture. You really do know how to tell a story with it. It's just great to see all of this stuff literally coming out of him. I imagine we all feel like that sometime. I know I do. Well, not to that extreme.
I do think the skull needs a little work. He seems a bit too sketchy. There are great shades of red in this. It kind of reminds me of Madness Combat. I guess he has two skulls.