Tsui no Taimashi: Ender Geister - Vol. 1 Ch. 5 - Stitches

[zombata]

the blurry muzzle flash really ticks me off

 

[DiscountJoJo]

As someone else mentioned the balloons may very well be a reference to Junji Ito's short story "The Hanging Balloons"

 

[Specplayz]

All that setup for the clown to fold instantly under the power of THICK THIGHS.