This image is unavailable on Donmai. Go to Danbooru or disable safe mode to view (learn more).
Artist's commentary
Return of the Lesbian (?) Vampire.
https://twitter.com/baalbuddy/status/1463055989637267458
You could say that she is a "Vampire that hunts for those who will Give Her The D", or, abbreviated, a "Vampire Hunter D", if you will.