Used: photoshop CS 6
You can view the time lapse of the process here (youtu.be/xquB0eqkGo0)
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Umm... was I not in every way clear it was an opinion?
Also, you may want to take note of the avalanch of negative reviews, stories and other backlash it got. Indeed, it was popular within a certain crowd, and they're fully allowed their poor taste, no objection to that.
But for a THIRD time... Impressed with this guy's artwork, but not a fan of the subject matter. Hope you understand now, Vex.