This is The Brethren cult symbol from the Silent Hill movie. It is hand punched and embroidered onto pig skin leather. The leather has been painted to resemble human flesh. The leather has then been mounted on a wooden plaque with nails and then held in place with handmade miniature metal barbed wire.
The item dimensions are 5.25 inches by 3.25 inches by 1 inch. It is designed to hang by the barbed wire arch at the top of the plaque.Important note: the barbed wire on this piece is made of metal and is sharp.