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The study utilized qualitative research methodology to assess external dynamics and their influences on tattooing practices among college students. Twenty-four undergraduates supplied in-depth interviews regarding the external variables related to college students' decisions to tattoo. The present research follows (Tse, Firmin, Angelini, & Foster, 2006), which reported findings regarding college students' internal dynamics for tattoo choices. Present findings suggest that health concerns, parental and peer influences, and social stigmas are particularly cogent external influencers in college students' decisions to tattoo.