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king till death or boss till death
I would have to see the tattoo. Also, the gender of the person would affect the meaning. Also also, meaning can be completely personal. Assuming a man has a plain King of Hearts playing card tattoo, one possible meaning could be that he's a ladies man. The King of Hearts is also the suicide king, so something related to suicide could be intended. The KoH also is the only king to not have a mustache; there could be some personal meaning related to that fact.
SKull and crown with cigar in skull mouth is a russian criminal tattoo symbolizing " wealth till death", "boss till death" or" king till I die" Skulls are tattooed on people who are murderers. A urban western meaning would be to "Ball till I fall"
The ace or king of spades are typically gang tattoos. I once worked for a tattooer transplanted from California, and he told me that the ace and king of spades are gang tattoos and should not be gotten by anybody who isn't looking for trouble. Same principal as not getting a 13 tattoo in the state of Ohio, as the PAGANS biker gang holds the number 13 in High regard, and would question and beat your ass should you have one tattooed on your person "just because".. But to answer your question more specifically, an ace of spades tattoo with a K inside of it symbolizes a gang member who has killed for his gang at least once.
Dave pelzer.com,multimedia then watch Larry king.