This creature character face is depicted in a detailed, black-and-white drawing by Tsutomu Nihei with a horror genre. The subject is a humanoid creature with an unsettling, nightmarish appearance. The creature has a large, hollow, skull-like head with prominent, empty eye sockets and a gaping, tooth-filled mouth that appears to be screaming. Its skin is rough and textureless, with visible cracks and scars. The creature's head is adorned with several large, bulbous, tentacle-like appendages that emerge from the sides, adding to its grotesque appearance. These appendages are detailed with intricate, swirling lines that suggest movement or growth.

The creature's shoulders are broad, and its torso is muscular, though the details are minimal due to the black-and-white medium. The background is completely black, making the creature stand out starkly, with no additional objects or scenery to provide context. The texture of the drawing is rough, with heavy ink lines that create a sense of depth and shadow, enhancing the eerie, otherworldly atmosphere. The overall style is reminiscent of classic horror comics, with a focus on stark contrasts and detailed, expressive line work to convey a sense of dread and unease.