That river in Egypt

"This is The Garden Of Earthly Delights, painted by Hieronymus Bosch between 1490 and 1510. Another hellish painting, this one even more detailed than the earlier one. Points of interest include the albino giraffe, the fish with wings, the person with flowers growing out of their ass, the person laying with a blue fruit for a head, and the pig wearing a nun's clothing trying to kiss a man"

https://en.wikipedia.org/wiki/The_Garden_of_Earthly_Delights