The artwork depicts a figure in a white uniform throwing their head back in what appears to be intense emotional distress or despair. They are holding what looks like a cafeteria tray with red objects on it. The composition is striking, with the figure positioned centrally against a dark background, while other blurred figures can be seen in the distance. The stark contrast between the white clothing and the shadowy background emphasizes the dramatic pose and emotional intensity. The upward-tilted head and open mouth create a powerful sense of raw emotion that aligns with the title "Primal Anguish." The artist's style combines realistic elements with simplified forms, particularly in the treatment of the figure's features and clothing.