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: Folie à Deux by Fall Out Boy. Frequently seeing the image in Spotify made me think of this. :)

The original is by Luke Chueh.