This is a medieval illustration depicting a dramatic scene. A large, serpentine dragon is partially submerged in water, its scaled body undulating. An arm and hand reach down from above, gripping the dragon's head. The dragon's head appears to be injured, with red markings suggesting blood. The water is depicted with wavy lines, indicating movement. The illustration is framed by an ornate border with geometric patterns and gold accents. The style is characteristic of medieval manuscript illumination, with flat colors and stylized figures.