This is not from a movie, book, or comic. I drew this.
Ten years ago, we did this small tattoo on her wrist, I used her wristbone as the nose of the clown.
Today, she came back again and we did this wicked, evil, psycho clown above it on the inside of her arm. I had fun drawing it and I had EVEN MORE fun tattooing it. Holy shit did I ever have fun with this one.