Undertale

Three women are in a car, with two in the back seat and one in the front passenger seat. The woman in the front passenger seat leans out of the window, smiling and looking forward, while the woman in the back right seat, wearing a patterned hat, repeatedly opens her mouth wide in a screaming or shouting expression. The woman in the back middle seat looks on with a concerned expression. The scene is set inside a car, viewed from the side.