There are a lot of problems with this photograph, such as the junk on the toilet seat on the bottom right and that I had to edit using basic rules, but anyway, it looks okay to me. 4.5ish grade probably.
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Nicely composed. The blood looks real, unlike most of the entries in this challenge. The striking color of the red against the near-B&W of the rest of the image adds a lot of punch.
You're probably going to take a beating on this one because many people on this site are going to consider it in poor taste. I, however, think it meets the challenge perfectly. It seems overly bright, but I think that works in this shot. Might have been a little better with a bloody handprint on the sink, but that's just being picky.