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The “Kubrick Stare" is one of Stanley Kubrick's most recognizable directorial techniques
(hexbear.net)
a method of shot composition where a character stares at the camera with a forward tilt, to convey to the audience that the character in question is at the peak of their derangement.
The transphobia wasn't rotting him from the inside out a few years back. I've also seen a few people who I know use drugs regularly and just never get good sleep start to look like this, but yeah I'm sure the lighting isn't doing him any favors.