This image is 95% hand painted in Corel Painter using a Wacom Intuos tablet. The figures were originally conceived in Poser 7 using morphs. However, I only rendered some very basic bare figures as a guide and all the figure detail is 100% overpainted and pretty much nothing of the original renders remain.
I used various charcoal, acrylic, air and oil brushes in Painter, though the majority was done with a soft charcoal brush and various blenders. The final image is 3500 x 5000 pixels in size and so is suitable for high resolution printing.
Prints of this image are availale at sizes up to A2: