You have to understand that was older time, back in time peoples don't have many of modern comfort like anime girls or Vtubers. XD
Dude was mentally ill, but there's nothing unusual about giving sex workers gifts in general (just uh... NOT severed body parts! >_
Imagine the night he was just about to cut his ear off and we teleport in and stop him. Then we send in Teanna Trump to suck him off. He may just put his entire body through a meat grinder
...no part of that was anything I would enjoy imagining. -_-
Would you think of a different girl and a different way to chop something??
Some of van gogh's greatest efforts were done while he was in recovery in the asylum. Difficult to imagine being happy for someone else's suffering.
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I know he cut his ear off as a gift, which is insane. It wasn't even his wife or girlfriend, it was an escort