There's nothing "the joker" about this pic. There's none of the makeup or anything like that.
For the creepy expression, the yandere tag covers it fine.

She made you a cake with love..... and someone's insides.

And now I void my bowels...

yes. happy birthday indeed.

It is delicious cake, therefore you must eat it;;;;
Hey look I found a human heart on it!

Ragna_Darkness said:
It is delicious cake, therefore you must eat it;;;;
Hey look I found a human heart on it!

Please... Give... it... ba... ck...
*thud*

I bet it's cherry flavor <3

Eat your heart out, birthday boy.
Mwahahahahahaaaa!!!!

I would accept that cake, but I'm allergic to milk,flour and eating human body parts. Huh? What's that? You mean this human meat bun? Uuhhh...I can explain?

*Insert horror movie sound effects*

ISIT ME OR DO ANYONE else sees a why so serious face here? o.o

youkai moe~

She used a Sunflower for your cake.

For the love of Sawako/Kanako, Don't drop a crumb of it and make sure you eat it all......

Or the next cake will be YOU.

H-happy birthday to me...Happy b-b-b-bbirthdaaaa~y to m-m-m-meee. T_T Happy birthday toWhy did they all leeeave meheeheeheee? Waaaah!

you gonna get raped tag, anyone?

why is that tagged blood?
that red thing can be something else too...

Illusive said:
why is that tagged blood?
that red thing can be something else too...

Then you are a fool to trust this situation.

Aww, you got a bit on your cheek, here, lemme get that for you~

why is red...?

Archangel0891 said:
why is red...?

Yuuka made the best cake in the world: Red Velvet!

The cake is a bomb

Oh no, that's not blood. It's strawberry jam.

This reminds me of the 5th episode in the first season of the Gregory Horror Show. Here's the episode link

http://www.youtube.com/watch?v=dmrS4TFwcys&feature=mfu_in_order&list=UL

IT'S A CRANBERRY TRAP!