A LOT of Black, Grey, flesh and green shadow Copics on Watercolor paper plus about 4 Black prismacolor's to get the blacks to pop. The red blood and White skull are both Gouache paint - 11.5 x 16.5 inches
Thanks for looking and my apologies that I am not able to respond to all comments.
Simply a great piece. The lighting alone takes this to a high level of artistry. The image manages to come through as a living, breathing and intensive personality, congratulations on a a truly great work of art.