The Bloated Woman by megaflow
This is the second version of this creature that I did for Fantasy Flight - the first was for the Arkham Horror board game, and this one is for the Eldrich Edition of the Call of Cthulhu CCG. The other one is on my site (www.megaflowgraphics.com) so you can see the difference.
The face for this one is a cross between a Japanese pop star I saw (whose name I forget) and a girlfriend from college. Of course, neither one has tentacles coming out of them, so far as I know.