Because Matt likes the biblical story of the four horseman he decided to have a sleeve created for his left arm. He thought that the horses with their muscles would look really cool. He calls it Sleepy Hollow meets the bible. The sleeve was completed during the recording of "Avenged Sevenfold" the album.
Matt's first tattoo was of the logo for the band H2O. They are the first punk band he really liked. It is located on his lower leg. He got the tattoo when he was 14 years old. His parents found out about it when he was in the 8th grade. They were not happy at the time but now they don't care. His second tattoo was of a heart with flames around it and in the middle of the heart are the words "True till death". He got that tattoo when he was 15 years old.