This is Naomi Grossman
This is Pepper (from American Horror Story).
This is them both together. The one and the same.
I know l have to try and comprehend the magnificent acting and make up (always difficult with my tiny brain), but whenever l watch the show, it makes my head hurt trying to envisualize Naomi in the role.
Time for a lie down , but before l go, here's the real life Schilitzie the Pinhead, who Pepper is based on.
Plus the incomparable Ramones, with their own Pinhead, from the 1977 riproaringly loud and brash It's Alive album.
Gabba Gabba Hey!