Step 1
Original image
Step 2
Cut men from picture and place him in new document.
Step 3
Select face for fuder work.
Step 4
In selected face use Adjustment>Levels to give darkner effect.
Step 5
Do same with hands.
Step 6
Give black color to eyes.
Step 7
Now we have beter intesisty of flash.
Step 8
For tets use Brightnes/Contrast. Smaller opacity and higher contrast.
Step 9
now take some picture of blood.
Step 10
Put the part of picture in centerof face.
Step 11
With Pen Tool select area of face but that area must stay on blood layer..
Step 12
With eraser make some shapes and in Levels give intesity for blood.
Step 13
In area of eyes use again Levels.
Step 14
When you finish with face, go and make blood everiwhere.
Step 15
for Blood on cloth you can use some filter like gaussian Blur.
Step 16
You can make some old blood on t-shirt. Use the part of blood picture like in this step. Remove Red part of blood picture.
Step 17
Here is how it look's
Step 18
For blood in hand do same steps. U can use overlay effect.
Step 19
Now give some Lens Blur effect.
Step 20
When you finish with making blood on cloth use some picture of animal organs or meet.
Step 21
Make like like in picture and in Levels colorize.
Step 22
Put again picture of blood.
Step 23
With pen tool draw some shapes like in picture.
Step 24
When you finish all this make some background.

