The Nine of Spades in cartomancy is often a sign of death, if drawn, but it can also be interpreted as fearful, depressed, frustrated, suicidal, or negative.
It is sometimes said to be aligned with the Tarot card "the nine of swords" which too is a card steeped in negativity and even death
What you see in this image is death coming for the card holder, with scythe in hand, He wears a crown of nine swords piercing nine spades, He is the pale rider, and He's coming for you