Reminds me of sage.... and by the looks of it, that's probably where you drew inspiration...
pretty good, But I think your background could do with a little bit more then a flat color in the first slide, and a slight shading of the blood might not be too bad of an idea either.
Looks decent seeing how its done with pen tool. Even though the pen tool is very simple to use and I'm mostly using it all the time with the work I do.