Zombie me showing off my Dead Strong bracelet.
Dead Strong bracelet from American Zombie
I was mostly influenced by this tutorial: www.imarc.net/communique/view/42/freakish_zombie_in_11_steps
I started with a photo of me in this pose, clean shirt, dead strong bracelet on.
Used the burn tool in regular mode to darken the eyes, fingertips, and dirty the shirt. Used the brush in color burn mode (50% opacity) to add blood stains around the mouth and blood to the shirt and hand.
Copied the head and hands onto another layer and used the "adjustments" option to add a hint of blue to the skin.
Used the clone tool to copy the whites of the eyes over the iris and pupil, touching up with the smudge and blur tools.
Copied the mouth and used the variation tool to add red hue to it.
Finally, found an image of some vericose veins (in someone's nose - ew!) and manipulated those onto the cheeks, using burn tool to touch them up.