From the Shirtpunch.com's interview with the artist:
"Question: What inspired this design?
Answer: I really don't know. My brain just seems to like mashing these things together. Usually when I'm at work and there's bugger all I can do about it. Then, it nags and nags and nags, all day, and then, I get home, tired and it's still nagging. I won't even attempt to elaborate further, it's scary in there!"