There's nothing "the joker" about this pic. There's none of the makeup or anything like that. For the creepy expression, the yandere tag covers it fine.
Eat your heart out, birthday boy. Mwahahahahahaaaa!!!!
I would accept that cake, but I'm allergic to milk,flour and eating human body parts. Huh? What's that? You mean this human meat bun? Uuhhh...I can explain?