Piss Cakehole is a nasty serial killer who is capable of finishing off the victim by carving a meaty figure. His actions are almost based on Painis Cupcake's powers and abilities. Instead, uses the Medic's bone saw as his tradition weapon for carving anyone. He can only use different weapons when he is in his Green State; which is his rage form. He features a dark brown vest with a red shirt and white overalls, red camouflage pants and shoes, blood stains on his hands and arms and Sharigan symbols from the Naruto anime, as shown on the front of his shirt, back of the vest and his watch.