Hungry Cat Kyuu-chan (Fan Comic) - Ch. 235 - Delusion

[MangaDex]

 

[OmegaMaru]

So its always been in his head. Makes sense

 

[Anikiman]

This is obviously Kyuu-chan's delusion. Kyuu-chan hopes he suffers for his actions and regrets what he'd done.
Meanwhile he's probably just cleaning the blood and shit off his penis.