Took the photo of my thumb, with the tack attached, then added the blood.
Disqualification Details
Cloning, dodging, burning, etc. to improve your photo or remove imperfections or minor distracting elements, etc. is acceptable. However, using any editing tools to duplicate, create, or move major elements of your photograph is not permitted.
Euw! There is only one TACK in this image! ;) The drippy blood stuff looks really fake. Almost like it was post edited in. Pretty grusome though. I will give you a 5 because you tried to gross me out!
The suggestion of gore almost always strikes this voter as being both unnecessary and unpleasant. It's not that I just like shiny, happy photos. Just the opposite. I often prefer dark and brooding ones. But in photos and films, I think we find threats are always more scary than actualities.
It's curious, in this case I find the red stuff simultaneously grotesque and unconvincing. I wish the whole thumb were in focus. I wish the warm color of the incandescent light had been corrected. And I find the composition a little static for my tastes.