what are these called and where do you make them?

Question

http://myspace-834.vo.llnwd.net/00953/43/88/953708834_l.jpg
Look at the picture above does anyone know where you make these things

Answer 1

that, my friend, is what we call an internet goth. features are virtual cutting of themselves, then writing songs about it. only 65.95$

Answer 2

You can make that in paint if you wanted to. It doesn't look that hard.