Done using Transfer Printmaking. Essentially what they used prior to Photoshops inception, although I did touch this up in GIMP via small edits.
This is fan-art of "Alice is Dead" which you can play here: http://www.newgrounds.com/portal/view/511552
[This work is part of the Samhain Portfolio of pieces of art I produce around Autumn every year, to organize and also due to the type of subject matter I make near this time. 2012 Collection]
Link
Lone Companion
I am enjoying that game