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Original Touhou character made up on the spot by Toby Fox on his Tumblr blog, in the piece 'improvised touhou music with annoying commentary'.

As a result of her not having any art attached to her, only music, many artists have taken a stab at making a depiction of her. In the West, Mary Cagle's version of her (Danbooru post #4789490) has become the most recognizable design due to its use in YouTube videos reuploading the musical piece. Similarly, in Japanese circles, as a result of a Niconico reupload of the musical piece using it, Khylimei's version of her (found here) has become her most recognizable design there. A third version, originating from Oligarchomp's fangame Wonderful Waking World (found here), can also be found in fanart.