This is a black and white watercolor drawing depicting a surreal and unsettling scene. The central focus is a profile of a human face, but it's filled with a multitude of small, worm-like figures. These figures are arranged in a winding, chaotic pattern within the outline of the face, almost as if they are crawling or moving through it. The face itself is simplified, with a prominent nose, a single visible eye, and a suggestion of a mouth. The worms are depicted with arms raised, giving them a sense of animation or distress. The background is a dark, undefined space, and the entire composition is framed by a rectangular border. Below the image, there is text in German, including 'Fall 36.', 'Abb. 110.', '„Wurmlöcher usw.“ (Aquarell).' and '25×33'.