As you probably know, most of the pictures you're seeing here have been created
using Adobe Photoshop 4/6. This program is the standard for things like this and
for good reason; composites like this can be created in minutes. Practically all
the "base" photos are from the Usenet newsgroups.
Note that I say "most" were created with Photoshop. Not quite all, but I'd
challenge you to accurately pick out which ones are "Photoshopped" and which are
not. Some are obvious, but not all.