i made this august of last year (2022, acrylic paint and water colors on paper)
the process:
i composed the painting in procreate. this made it a lot easier for me to tweak the proportions until things looked right (i'm still very much a beginner artist)
i then printed and cut out the sketch so i could trace it onto the final paper.
i used acrylic paints to paint the image and red water color for the blood stains.