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The background and the good doctor's head are both from the game Darkest Dungeon (get it it's good)! The pony body is drawn by yours truly trying to mimic the game's style to see what she'd look like as a pony, don't think I got the lines as heavy as they are in the game or pulled off the awesome fabric folds they have though. (And mods, I know you probably wouldn't anyway, but don't post this anywhere I just want to use it to link people to).