What should be added to this photo?

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Although I find it gruesome enough already - that fist makes me think of a particular
scene in the first Alien movie - I'm trying to think of what to add or do to this photo.

Update: I have added a couple of things. Here is the current version:

[Rex]

1. I can fit my entire fist into my mouth...wanna see!?!?!

MmmMMMmmmMmmmmm mMM!!

[Lost-in-FL]

2. "don't retreat... reload... aaaaarrrrrggggg!!" nt

[Kokonoe]

3. A fist full of money would sum it up. nt

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8. With some blood stains...

[Urban Prairie]

4. A fruitcake?

A fistful of dollars?

A can of Chock Full O' Nuts?

A round analog wall clock with a 13th hour?

A reflection of Jared Lee Loughlin in her glasses firing his Glock?

[pintobean]

6. "A reflection of Jared Lee Loughlin in her glasses firing his Glock?"

Shoulda put a little more thought into that one before posting.

[Urban Prairie]

13. No more thought was necessary than what this cartoonist put into his image:

[Hugabear]

5. "We've got to kill - er, crush them!"

n/t

[Statistical]

7. I would try messing around with the background.

Something known for violent rhetoric. Maybe some Nazi banners?

[chollybocker]

9. "...and than I pierced through the large intestines...

"...and chewed my way through the cavity wall, and thought to myself... I should go into politics."

[GReedDiamond]

10. She's about to look into a surveyor's scope...

...so she can figure out where to put the surveyor's marks on her next target map.

On edit: Of course, she would also be wearing a hard hat and a bright orange vest.

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11. OK I added a couple things... refresh this page to see the updated one.

[Kokonoe]

12. Nice,

Six skulls on her charm bracelet