Though I am sure it will draw fire, I feel compelled to point out puppets are generally manipulated internally, external manipulation places it in the realm of a marionette.

[www.IfYouSeekAU.com]

A marionette is a sub-class of puppet -- so this would be a puppet and a marionette and very freaky.

Is it from Bioshock?!
Looks like a "Little Sister"...

i like eddie from iron maiden better

knotty puppet skank