In this tutorial, you'll be creating a graphic illustration based on a rough, scratched metal textured background. By finding an average looking piece of note paper, we'll manipulating it to have a more torn, ripped, dramatic-grunge effect, and then covered in blood to resemble a horror scene photo manipulation.

Download Background
Download 1st Photoshop Blood Splatter Brush
Download 2nd Photoshop Blood Splatter Brush

1: Manipulating The Roughly Scratched, Metal Textured Background

1.1. Edit » Transform » Scale the background down to an appropiate size.
1.2. Add a Layer » Layer Style » Inner Shadow with 100% Opacity, 0px Distance, 0% Choke, and a full 250px Size.
1.3. Now, select Image » Adjustments » Brightness/Contrast. Raise the Contrast by 50.

2: Designing The Basic Note Paper Effect From Scratch

2.1. Create A New Layer (Ctrl + Shift + N), form a rectangle in the shape of a piece of note paper, and Fill (G) it white.
2.2. Now, using the the Rectangular and Elliptical Marquee Tool again, erase areas (as shown below) to
resemble a note paper effect.
2.3. Create A New Layer (Ctrl + Shift + N) again.
2.4. By using the Single Row and Single Column Marquee Tool, form the note papers lines and fill them respectfully blue and red.
2.5. Create A Clipping Mask over the note paper and then Merge Down (Ctrl + E) into it.

3: Manipulating The Note Paper To Appear More Torn, Ripped, Grungey & Dramatic

3.1. Add a Layer » Layer Style » Drop Shadow, but leave the settings as they already are.
3.2. Add a Layer » Layer Style » Inner Shadow. - maximize the Size to 250px, but leave the other settings alone.
3.3. Add a Layer » Layer Style » Pattern Overlay with 90% Opacity. Choose the Kraft Paper Pattern under the Color Paper section.
3.4. Select the Oil Pastel Large 63 Brush and 'rip/tear' pieces of the note paper, and you should have something like the image below.
3.5. With the blood brushes (the light speckle ones), erase parts of the note paper to create a slightly grunge effect.
3.6. Merge Down (Ctrl + E) the note paper layer into a A New Layer (Ctrl + Shift + N).
3.7. Edit » Transform the background down to an appropiate size and rotation.
3.8. With Image » Adjustments » Brightness/Contrast, raise the Contrast by 75, and then again by 50.
3.9. With Image » Adjustments » Hue/Saturation, raise the Hue by 7, and the Saturation by -30.

4: Adding The Dried / Wet Blood Effect And Finalising The Overall Horror Scene Illustration

4.1. Create A New Layer (Ctrl + Shift + N), change the Blending Mode to Linear Burn, and Opacity to 75%.
4.2. Add a Layer » Layer Style » Inner Shadow with 100% Opacity, 0px Distance, 0% Choke, and a 36px Size. Vary if required.
4.3. Now, use the blood splatter and dried blood brushes to decorate the pale, creepy hand with deep red blood.
4.4. Merge Visible (Ctrl + Shift + E), and then with Image » Adjustments » Hue/Saturation, lower the Saturation of the illustration by 20.
4.5. With Image » Adjustments » Brightness/Contrast, lower the Brightness by 20, and heighten the Contrast by 25.