This is the tattoo that my character Griffin in Everlasting RPG had done when he found out that he was essentially no longer human. He's a Reanimate, this basically means that his soul has been removed from his body, his body has been altered genetically, and through a series of chemicals, and then his soul was tied back in. Essentially like the creature in Frankenstien, only the species he's a member of exibit no deformities or stiching, he was even put back into his own body, so he never knew.
The guy in the tattoo is supposed to be him, only him at the age of about seventy. He's trying to tear his way out of the skin on his back. At the time, Griffin was feeling trapped in a body that essentially wasn't his, and having to face the fact that he'd never get any older, and that he'd never die. It was a dark time for him.
Also, The Hermit card is the tarot card used for Reanimates in the Everlasting book, so I thought that was kind of fitting.