Mutated Belker-Balloon Clown, Shaun, 2012.
This is more concept art from my project of Balloon Clown Nit. One story of the series is that where Shaun gets captured by an evil wizard's belker (a D&D originated monster: smoky body with tail, claws, bat wings, red eyes and made of smoke, ash and other grits). Shaun was in his balloon clown form when the belker forced itself down Shaun's mouth, thus merge with Shaun's transformed shape to become this. As you can see, he's not enjoying coughing on the belker's smoke while he's stuck labouring away as the wizard's captive.
As a side note: In Dungeons & Dragons, Belkers are evil monsters that when inhaled will rip apart its victims if not coughed up quickly. I've made my own twist to that behaviour, with that belkers can possess their victims too as hosts, like ghosts. Also that they eat materials that are flammable, like wood, coal and oils.