[Full title: South Park x Danganronpa - Eric Cartman, Ultimate Despair]
In this pic, Eric Theodore Cartman is the new Ultimate Despair and his assistant is without a doubt Monokuma.
South Park (c) Trey Parker, Matt Stone, South Park Studios, MTV Entertainment Studios and Comedy Central
Danganronpa (c) Kazutaka Kodaka and Spike Chunsoft
Idea and artwork (c) me