Having the words 'Game Over' on any part of the body is a little depressing and plenty morbid, but having those words written across the neck takes that symbolism to the next level.
Alternatively, does the tat mean that my game is over?
If this is the case, then the tattoo becomes
offensive and a little bit violent. If so then the hope is that the inked individual only knows attack moves based on the Mario franchise. Keep your eyes open for fire flowers and raccoon tails in the vicinity.
Sidenote: Why Mario & Luigi (alive) next to "Game Over" — there is very little here that makes a whole lot of sense.