This is a real image taken out of the game, you get one moment to see it during when Torque is getting docked and checked by the Foundation soldiers right before he collapses and is strapped onto a dolly. in the background it appears there are a set of blood red teeth.
Through all the trauma Torque had in his life, Torque's fractured mind created Blackmore as a coping and survival mechanism allowing Torque to survive by any means necessary. This is Torque's alter ego; Blackmore never existed as a physical being. After all Torque is Blackmore literally he just never knew it or understood he was the only one who could see or hear Blackmore. But one person did know and that was Jordan the leader of the Foundation which is a paramilitary organization about studying and capturing malefactors to study their power.
The game can take you in either direction depending what way you play it (Good, Neutral, or Evil) Morality. Good morality you completely rid yourself of Blackmores influence completely destroying Torque's alter ego, or Neutral is when both Torque and Blackmore remain in their constant struggle for power neither win, and lastly Evil morality is when Torque gives into Blackmores influence and control and he literally and permanently becomes the ultimate evil and also malefactor himself (How? through Torque's repeated actions of evil, he literally becomes the creature, and it will no longer be a hallucination, when Blackmore gets total control of Torque's body, he will shapeshift into the creature for real and be the ultimate leader and commander of the malefactors, the malefactors will not harm Blackmore because he himself is a malefactor).
Blackmore has been using Torque a vessel all along to fund the foundation, he has been doing this because he wants to rule the world literally and be able to control hordes of malefactors. Notice how Blackmore can summon them (When he had the creatures go after Ranse Truman). Only problem is Blackmore is sharing the same body with Torque, and in order to take full and total control of Torque he needs to break Torque down. Remember he did this when he sent his thugs to hurt Torque's family. (Which in reality Blackmore didn't actually mean to have Torque's family killed as revealed later in the story but only to scare them, but his thugs got too trigger happy and killed them anyways).
Here is that cutscene in case you missed it make sure you skip to 13:47 to see it. The Suffering: Ties That Bind | Almost All Endings
So, it appears Blackmore never really intended to frame Torque for the murders, just scare the family was the goal, if Blackmore wanted to frame Torque for the murders, he couldn't run his criminal empire in the prison but since it happened anyways Blackmore just had to improvise and it didn't really matter much too him because it was all enough to cause to event where all the malefactors start to emerge in just the right conditions. Torque was the catalyst.
It appears from the game's story, that people who are evil to the core like Luther Stickwell (Who is the creeper), Copperfield (The slave owner), Hermes (The executioner at Abbot State Prison), Horace (The guy that got the electric chair), and lastly Dr. Killjoy get to become an actual malefactor because their evil was so great they now get to live their life forever as whatever representation of evil they chose to become.
This is what Blackmore wants for Torque, to become the ultimate malefactor and the ultimate weapon and leader of the malefactors.