Original post here. Sourced on tumblr to postdialup via super-stuff. This appears to be a crop of the cover for Creepy Comics #16 published by Dark Horse Press. The cover artist is Julián Totino Tedesco, who has a profile with contact information here. Here is the uncropped cover:

Which contains the text “Creepy. The finest in illustrated horror. Fall down the terror hole! Dark deeds perpetrated by Ted Naifeh, Rachel Deering & Vanessa R. del Rey, Dan Braun & Peter Bagge, Bill Warren & Mike Royer.”