This creature character face  is a grotesque, detailed black-and-white drawing by Tsutomu Nihei in a horror comic style, likely created with a traditional pen and ink technique. The subject is a human skull with three prominent, bulging eyes positioned in a triangular formation on the forehead. The eyes are large and round, with exaggerated whites and dark pupils, giving a sinister, eerie expression. The skull's surface is rough and textured, with visible cracks and crevices, emphasizing its decayed state. The nose is a simple, small indentation, and the jaw is slightly open, revealing a row of sharp teeth. The drawing style is highly expressive, with bold, thick lines and heavy shading, creating a sense of depth and tension. The background is minimal, consisting of a few dark, undefined shapes that do not distract from the central focus of the skull. The overall effect is one of horror and grotesquerie, typical of the genre. The image is reminiscent of classic horror comics, such as those by EC Comics, with its stark contrast and detailed, nightmarish subject matter.