An Altered Reality image should be imaginatively different from the way it was originally seen or taken. Almost any way of substantially altering an image is allowed, but you must hold the copyright to all elements of the final picture and clip art is not allowed.
Open means anything counts. There are no restrictions on subject matter. There are two 1st places – one for the best Altered Reality Image and one for the best Open (non-Altered Reality) image. After that, Third place, VHCs HCs and Commended awards are made.