A striking illustration depicts a figure in apparent distress against a turquoise blue background. The composition is dominated by coral-pink tones and features an exaggerated open mouth with a long, bright red tongue extending upward. Floating spherical coral-colored orbs bubble up from the figure, suggesting an underwater scene. The figure wears a striped black and white garment contrasted with patches of yellow patterned fabric. Dripping or streaming effects in pale colors flow down the figure's features, enhancing the aquatic theme. The piece effectively conveys a sense of struggle or suffering in an underwater environment, living up to its title "Aquatic Anguish" through its dramatic expression and liquid visual elements.