Nice sharp gun heading out to confront reality - the red pills blurry, in the past, the choise is made. The clump of pills on the right is confusing because they all blend together and at first you're not sure what they are (perhaps you meant them to look like blood?) I also wish the bottom center pill wasn't cropped, but fully in the picture.
Nice image. Good planing. I really like the way that you took this image. Are the objects in the background suppose to be blood?? If so, you did a really great job putting these objects to use to make a very interesting and attractive image. Good job.