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What the picture shows

A chibi anime-style character with dark hair, small red-tipped horns, and a red outfit has her eyes squeezed shut and her mouth stretched into an enormous open scream, with a deep red interior dominating the frame. Chatters would likely use it to convey intense screaming, rage, or overwhelming frustration in a comedic, exaggerated way.

No measured meaning yet. Used 43 times in 0 channels this month; one is written once chat gives enough evidence.