This type of tattoo may honor the heavy metal band Avenged Sevenfold because the band's logo depicts a skull with bat wings, known as the "Deathbat." According to Metal Injection, some fans believe this logo is a direct ripoff of the classic logo used by the thrash metal band Overkill.
The depiction of a skull with wings has been a popular image for decades, and it appears in the logos used by the Hell's Angels motorcycle club and Harley Davidson. In religious history, the image of a skull represents death, while the image of bat wings sometimes represents rebirth. According to Norwich Historic Churches Trust, the monument of Augustine Curtis symbolizes rebirth after death with its depiction of a skull holding a bat wing in its mouth.