A black and white image depicts two skeletons in an intimate pose, appearing to share a kiss. One skeleton is shown partially, revealing its ribcage and wearing what appears to be dark clothing, while the other is dressed similarly. They lean toward each other across what seems to be a table or surface, where a wine glass is visible. The background is misty and atmospheric in gray tones, while the bottom portion of the image features textural brushwork in muted orange and neutral tones. The composition suggests both romance and mortality, playing with the juxtaposition of intimacy and the macabre, fitting for its title "death medicine 4."