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Doctor Schmerzesser is a bicorn/eldritch abomination from the mind of Nutjob.  He (the doctor, not Nutjob) was once a demonic parasite, gorging upon the suffering of mortalkind, but he got bored.  So now he performs miraculous acts as a plastic surgeon in Las Pegasus.  They say, switch up your vocation every five years! 

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Nutjob

He LOVED working with Annie Smith. They had such fascinating discussions about 'farming' while he was working on her neck and spine...