Someone in PO's chat posited that Ralph might be wearing makeup. Looking at a shot from two days ago and tonight, there's a clear difference:
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The thing I'd like to draw most attention to isn't the redness. That's obviously a marked difference, but Ralph might very well have Rosacea, and it's cleared up. However, Rosacea lotion will
not cover up bags under your eyes. A concealer or foundation, will. I'm still gonna categorize this as schizo-posting without more evidence, but the skin tone under his eyes has never matched the rest of his face (having a fucked up sleep schedule and two active addictions will definitely contribute). Shit's too even, he looks different.