This frame is easy. Just throw up whatever image you think will shock/startle your end user (I found this one on a Google image search for the term grotesque, and pulled it from
Fromoldbooks.org), place any text that you like, and add a jarring sound effect (if you dont remember how: import it to your library by clicking
File->Import to Library and selecting your audio file, and then with the correct frame selected, pick the name of your audio file from the Sound dropdown in the Properties pane). Just for perverse humor I put another Try Again button on mine; believe it or not, there are some people who will try it again and again, thinking that they just have to edge around that spot to complete the so-called game.
You can give my version of it a shot here. Just to save your nerves Ive used clown laughter for my sound effect instead of the loud, shrill screams that most use for theirs. Youll also notice some changes that Ive made to mine for improved functionality.