This design merges an anatomical heart with the Sacred Heart tradition, a Catholic image representing Christ's love and suffering, marked by wounds, flames and thorns. The crown of thorns and piercing sword reference the Passion, while the anatomical rendering (rather than the stylised, symmetrical version) adds a raw, visceral edge often read as suffering endured for love, sacred or otherwise. Some wear it strictly as a religious symbol, others as a general statement about pain and devotion, with no faith attached.
Where it sits
The circular composition with radiating linework suits the chest, upper back or a large thigh panel where the full sunburst can spread out. It also works well on the forearm or calf if scaled to a tall oval, since the sword gives it a strong vertical anchor. Shrinking it much below the shoulder blade size would blur the crossed hands, thorn spikes and the fine dot shading inside the heart.
Making it yours
Ask an artist for any of these.