Tattoo of Skulls on side of Hispanic Mexican American.
The Grim Reaper actually causes the victim's death by coming to collect them. In turn, people in some stories try to hold on to life by avoiding Death's visit, or by fending Death off with bribery or tricks, as in the case of Sisyphus.
Body art or tattoos has entered the mainstream it is no longer considered a weird kind of subculture.
"According to a 2006 Pew survey, 40% of Americans between the ages of 26 and 40 have been tattooed".