This creature character face is depicted in a black and white drawing by Tsutomu Nihei in a manga, resembling a manga or anime illustration. The subject is a skull with a grotesque, menacing appearance. The skull is positioned centrally, occupying most of the frame. The face of the skull is hollow, with deep eye sockets and a large, gaping mouth that is slightly open, revealing sharp teeth. The eye sockets are filled with a dark, shadowy substance, giving the impression of decay or emptiness. The skull's forehead is slightly raised, adding to the eerie expression. 

The background is a solid black, creating a stark contrast with the white skull, which emphasizes the starkness and horror of the image. The texture of the skull is detailed, with fine lines indicating the bone structure and the hollow spaces. The drawing style uses a dotting technique, which adds a grainy texture to the background, enhancing the overall dark and foreboding atmosphere. The lack of color and the stark contrast between the skull and the black background contribute to the intense and unsettling nature of the image.