The image features a black and white illustration of a man with a beard and curly hair. He is depicted with a wide-open mouth, revealing his teeth, and his tongue sticking out. Above the man's head, there is a text that reads "ALWAYS TIRED." The text is in a casual, handwritten font, and the word "TIRED" is emphasized by being larger than the other words. The overall style of the image is reminiscent of a tattoo design, with the text and the man's face being the central elements.