SAW V, from France. The french are apparently traditionalists and thought the other poster was just too different.
And since we are talking about different (and about SAW) here is a poster for REPO! The Gentic Opera. Much more interesting, with a clear style that you can also see in other materials for the movie. Although the poster is perhaps too dark for its own good.
This is a bizarre mishmash of a film, a sci-fi/horror/musical directed by that guy from SAW II and with the all important participation of Paris Hilton. Considering all that I was actually hoping for something even more out there, but I guess the preferred to err on the side of caution and tried to make it look at least a bit serious and scary.