He has been described as a "Frankenstein's Monster" in appearance. SCP-542 may hide his odd features under heavy clothing, but prefers to wear only a nice pair of slacks, revealing his hunched form, distended gut, warped ribcage, and bizarre arm structure. His skin is made from patches of various hues and shades, some of these healed together with scars while others are still stitched together. Non-symmetrical bone and muscle structure reveals that he has replaced the majority of his body over time, and admits to having worked with "helpers" before to replace such things as portions of his own spinal cord. Although his appearance can change with surgery, his arms are always too long for his body, and his hands have been modified greatly to have additional joints in the fingers.
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