The painting of choking fish

Whoever came up with that painting is probably clever, and it wouldn't be suprise when someone figured it out easily.

Bent arms by Miik00 (user/81410683)
Custom hands, one by Ceej39, one by Chusonic (prop in DeviantArt)
Custom mouth by Vanilla-Nishiki
Portrait frame by Grayfox5000 (prop in DeviantArt)
Carp (in the painting) + Acrons + Separate Eyes by PsyKoTMK (me)