Not sure if anyone will recognize this, but when I do Rule 34 art I like to make it as obscure as possible! Well, I think this counts as Rule 34. Even though it's not porn, per se, we all know what's going to happen.
Anyways, it's a parody of the album art for some music I've been listening to a lot of during the past week: Folie à Deux by Fall Out Boy ( http://falloutboyforever.webs.com/folie.jpg ). I keep seeing the image in Spotify and it made me think of this. :)