there is a lot going on here. He is self concious about putting the fez in the picture so he makes a joke implying the fez is actually a bellhops garb. Also makes it look like a reptilion to have the lizard people excuse to dismiss this
In the shriners there is the group called the jesters. Above the jesters is a group called the sovereign order of brothers in blood or sobib. Notice the blood flows up.
the linked site from that account https://imalreadydead.com/collections/prints/products/the-guts-color-print has a limited edition cannibal print for sale. also another strange thing "that's just the way it is" like a cult mantra.
scary