Dark Sun: The Scorched World of Athas
Sacha is a severed head with long topknot, thick black stitches closing up his neck-holes. Sacha was clearly once quite portly but now has leathery, dried skin and grey, receded gums. He has short fangs and claims to be constantly hungry for blood.
While much of his history remains unknown, he claims to be suffering from a curse that was unfairly laid upon him.