My upcoming rpg character, Terhen. One quite messed up little girl she is (come on, I simply can't have enough of these mental cases), suffering from Capgras delusion and possibly rather severe catatonia. Also she has some sort of dyskinesia, which sometimes makes her crawl around like shown in the picture.
Photoshop, possibly around 4 hours.
Slightly different version of this in my deviantART.