This is a medieval illustration depicting a dramatic scene. The background is a textured blue representing water, with a pale, distant landscape suggesting land. On the left, a man in a green tunic and red leggings is thrusting a spear into the side of a centaur. The centaur is a dark brown color and appears wounded, with blood visible. The man wears a pointed hat. To the right, an angel with pink wings is attempting to rescue a person lying on a small island. The person is dressed in a flowing pink robe and appears to be injured or dying. The angel is grasping the person's hand, seemingly trying to lift them to safety. The scene is framed by a decorative border of red and gold. The style is characteristic of medieval manuscript illumination, with flat figures and a focus on narrative. The overall impression is one of violence, rescue, and a fantastical setting.