The image is a black and white sketch of a hand with a skull on it. The hand is drawn in a sketchy, hand-drawn style with intricate details and patterns. The skull is facing towards the right side of the hand, with its mouth open and teeth bared. The fingers are spread out, with the thumb and index finger pointing upwards. Above the skull, there is a banner with the word "TRUE" written in a cursive font. The background is a plain white paper, and there are a few other sketches scattered around the hand. The overall mood of the image is dark and eerie.