This is a leather belt made not from regular leather, but from the leathery preserved skin and nose of a sad, sad clown. And by one of those "sads" I meant "creepy." And actually, by the other one, I meant "horrifying." So not really sad at all.
(In-game plural: clownskin belts)
|big red clown nose||clown skin|
|TOP 10 clownskin belt collections|
6. Dik - 136 | 7. Artie Effham - 123 | 8. Nikademus - 104 | 9. SpaceBandit - 91 | 10. StorellaDeville - 86
Collection data courtesy of ePeterso2 and Jicken Wings