This design features a black and white illustration of a skull with a stitched mouth. The skull is depicted in a cartoon-like style, with exaggerated features such as large, round eyes and a wide, open mouth. The stitches on the mouth are detailed and give the impression of a classic, horror-themed design. The background of the image is plain white, which contrasts with the black lines of the skull, making the skull the central focus of the image. The overall style of the image is reminiscent of a hand-drawn sketch.