So the opposite of trump where there is a second asshole in his face

Looks more like a pelvis than a head to me. 🤷

That's a pelvis.

The rib cage is also way too long, and wtf is that bone under the ass head

I think it is a pelvis on the left as others have said. I have to admit though I thought I was looking at two skulls, probably because I was biased to look from left to right so I just accepted the left one as a skull and then the right skull actually looks like a skull. My first thought though was that it was an abstract depiction of overcrowding, so it was intentional to show two skeletons pushed close together.