A striking image centered on an open mouth screaming into a dark, cosmic void. The mouth, rendered in flesh tones with visible teeth, appears to be pierced and surrounded by various sharp objects, pins, and needles floating in space. The background features a chaotic array of celestial objects, meteor-like forms, and small figures suspended in the darkness. Splashes of orange and red create an explosive, fiery effect against the deep black space. Small droplets of red liquid appear to be suspended from thin threads within the mouth's cavity. The overall composition swirls outward from the central screaming void, creating a sense of intense emotional turbulence that aligns with the artwork's title suggesting pain and anguish. The realistic rendering of the mouth contrasts dramatically with the surreal, space-like environment surrounding it.