Great picture composition, with the diagonal created by the bonesaws and the Medic's coat tail, and the use of third lines and alternating blue-red-blue in the picture. It's almost a bit too staged... but dramatic, like a snapshot from a gory action scene in a Tarantino or Hong Kong action movie.
Question @ Deniszizen: How/where did you get the knee-length coat for the BLU Spy? Did you modify the Business Casual jacket misc from the game? I can recognize the other two cosmetic items as the Under Cover (hat + face bandages) and the Griffin's Gog (goggles) from the 'The Invisible Rogue' 2011 Scream Fortress Halloween costume for Spy, but the coat isn't part of the costume set.