Assuming you are speaking of the one on her behind in RENT, no, it is not real.
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No
He does not have any real tatoos
No he didn't. Sam just got her cousin to use temporary ink but give him all the pain of a real tattoo to trick him. And note that in many states, it is illegal to get a tattoo when you are under 18, even with parental permission.
yes he has the word real on his chest
According to an interview in Inked magazine, Kat Von D says that the real team of tattoo artists at the shop are "team b" and that TLC has dictated the hiring and firing of the tattoo artists that appear on "LA Inked".