Hm

the tears are really well drawn i agree with Jazznote, it also looks like you added a slight glow effect to them as well ^^
first off i am impressed that you used no black likes, this is all colour so it looks like anime-realism. the eyes also appear to have a certain glow to them. it is obvious you put a lot of emotion into this (it's a vent picture duh) and it looks like you got your point across so nice vision! the hair details are a little thick for realism but i salute you for using shades of brown for them so it blends better. the red on the face and the skin is all perfect so you did great there!! the shading is a little choppy and the blood could use more detail, but other than that you put this together nicely and the writing on the side ties it all together so you get a high rating from me. Vent pictures are brave you know, you are expressing true feelings with them and they tend to be really powerful so no matter what be proud of this picture.