A haunting scene depicts a large, grotesque head with glowing red eyes and a gaping mouth emerging from a dark, misty background. The head appears to be screaming or expressing terror, with its mouth wide open revealing teeth. Surrounding this central figure are numerous dark silhouettes of standing figures, creating an eerie crowd scene. Above them, strange spider-like creatures with long limbs float or dance across a lighter, cloudy sky. These creatures appear in various shades of red and black, adding to the nightmarish quality. The overall color palette consists of murky greys, blacks, and strategic uses of bright red, particularly in the eyes of the central head. The composition creates a sense of chaos and horror, with the crowd seeming to both flee from and be drawn to the screaming entity. The atmosphere is deeply unsettling, enhanced by the foggy, dreamlike quality of the painting's execution.