https://en.wikipedia.org/wiki/Sad_clown_paradox
Officiously it's titled Great Clown, by cartoonist "Bogswallop."
Not sure where his most-current stuff is, but here's one collection:
https://bogswallop.tumblr.com/
this post was submitted on 23 Jun 2026
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I really like that in the first panel the doctor is looking right at him and knows exactly who he is.