This card is usually an indicator that the adjacent cards are referencing someone very close to you. It denotes a partner or someone you see as your equal. Drawn on its own it predicts a strengthening relationship or impending closeness with another.
This indicates that the person referenced in the adjacent cards is someone unfamiliar to you or someone with whom you have only a passing acquaintance. This person in question may know you but to you they are a stranger. Drawn on it’s own it represents someone slowly pulling away from you.
About the Art:
I initially tried drawing a couple holding each other while they both get stabbed through the heart, but I couldn't get it to work. I then remembered Van Eyk's "Ghent Altarpiece" and the big full bellies of Adam and Eve. Why not redraw that in a way that has them sharing each other's innards in a romantic gesture?