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Artist's commentary
Discord:
hi! i'm the artist, it's goatse :)
the abscess in her gut is the asshole of the old man, she's blue cuz i felt like it, there's tattoos and a necklace to add further detail of his anus, the highlights from the flash specifically, same with random sparkles, the hair is white because he's an old man, the halo has red rings on the phrongs because he's wearing a few rings on his head, her arms are cut off for more anus holes, and there's a group of people next to her to symbolize all of the poor children that got linked to the website without realizing it was a pic of a man spreading his asshole
there's your context
also the blueneess was in part because she resembled krishna, the hindu god