Is this picture real?

This picture is on dlisted today, and to be honest it gives me the hebe jebes. I can watch spooky stuff all day and it won't bother me. Give me a Indonesian exorcism video (below) in the jungle and I won't bat an eyelash.

But in all serious, is this a Halloween costume, a practical joke, or is this how the women applies makeup. Because I need to know. This is the shit that gives me nightmares. I can't even look at this picture without getting shivers down my spine. Am I the only one?