It's a mock-up for a VHS cover for a fake Lucio Fulci movie called Red Pebble. By the summary on the back back I would have loved the movie that could have been. I thought this was inspired so I took a look at leothefox's deviantART gallery and found these goodies.
These fake covers are great. The art, titles, and back cover blurbs capture that 80s corner store video feel I love. Plus, these covers give me some RPG ideas as well.
Leothefox has a lot of fun stuff in the gallery. Check it out at leothefox's deviantART site!