This tutorial is of my own creation and any resemblance any other tut is purely coincidental. This tutorial is for personal use only, using it for monetary gain is against our TOU's.

Supplies:

Gimp or program of choice

Tube of choice. I am using the art of Ismael Rac. You must have a license to use these tubes. Purchase his tubes HERE
PTU kit Brains & Blessings from Gimptastic Scraps
Mask- 81 from weescotslass
Font- Pharmacy

-File>New 650x650 px.

-Open frame 6. Layer>Scale Layer 75%. Place frame on center of canvas. Select the fuzzy select tool (magic wand). Click inside the first frame. Select>Grow 2. Open paper 6. Move below frame layer in the layer box. Place paper in selection. Layer>Transparency>Add Alpha Channel. Select>Invert. Press delete on keyboard. Open tube. Scale 75%. Place in selection. Delete. Select>None. Change the mode to soft light. Repeat for the 3rd part of frame using paper 3. Also repeat fro the middle part of frame using paper 4, but don't add the tube. make the frame layer active, Filters>Light & Shadow>Drop Shadow 2, 2, 5, black, 50.

-Open frame 5. Make the bottom layer. Scale 75%. Place at the bottom left of tag. Layer>Duplicate Layer. Place duplicate at the top right of tag. Add paper 1 top the top right frame and paper 7 to the bottom left frame. Repeat drop shadow on both frames.

-Open tube. Make the top layer. Scale 45%. Place center of tag. Repeat drop shadow.

Elements:
beads (rotate 90)
mush
brain bucket
hand 2
present 2
holly
candy jar
snowflake
WA
snowballs
bow
paper flower
blood

-Open paper 5. Make the bottom layer. Apply mask. Click HERE to learn how to use masks.

-Add name and copyright and you're done!!