I know it's supposed to be anonymous, but I think someone smuggled a sketchpad into rehab (or the shelter on skidrow). Either that, or someone was having a hellacious hallucination/flashback.
Regardless, the result was more art that made you cringe when you visited grandma's house. This is one of those prints you hustled into a bag-for-a-buck garage sale, buried in an auction box, or dumped at the curb as soon as you got to clean out grandma's house.
Ewwwww . . . look at all the pretty colors and funny clowns . . . no, clowns aren't scary . . . come closer . . .