At first glance I thought the title was Constipation Maiden. XD
This looks awful though, I can't get over just how terribly designed that big blob thing is. That thin face and neck on top of that giant pile of shit body just boggles my mind every time I look at it; especially since they went through the trouble of giving her fat hands, lol. The image of the sprites on the world map with their backs to the camera makes it look like she's bent over and we are just seeing her foreshortened back because of how ridiculously long those legs are relative to her body.
Oh well, I'll leave it at that. I'm starting to almost feel bad ripping on this nightmare fuel. If the creator happens to be reading this: please do us all a favor (yourself included) and spend some time studying surface anatomy and high quality smutty art. Don't just fap to it and call it a day, spend time really analyzing the relative proportions, landmark placement, silhouette shapes, etc. Make sure to go for variety too, instead of just focusing on studying the few things you are into. It will help broaden your perspective and understanding. I tend to think most newbie artists out there really underestimate just how poorly they actually see and comprehend the world around them. It takes serious dedication and practice at training our eyes and analytical skills to overcome that hurdle.