Things are not as they seem. The problem in front of you is just symptoms of a deeper issue. Try to view it from another angle and it should reveal itself.
Things are exactly as they seem. There is no deeper issue; these surface irritants are only surface deep. Attack each scenario head on, one at a time, and you'll eventually be through the storm and back onto calmer waters.
About the Art:
As I research each card, I fill up a folder on my computer with reference photos. Many of them didn't get used in other cards, but I still wanted to draw them. I decided to assemble them into the flower of flesh and blood that is this card.