A 49-year-old male engineer was found dead in the living room of their apartment by his wife, who had not seen him for 24 h (Fig. 1). The living room door was locked from the inside and, thus, firefighters opened the door by force. The decedent was wearing women’s underwear, artificial, homemade “breasts”, and a woman’s wig (Fig. 2). The neck was tied by a retaining strap connected to the feet, with a sliding metal eyelet on the nape. A “ball gag” (a plastic ping pong ball) was strapped into his mouth and fixed with a loop-type fastening cord around the head (Fig. 3). The upper chest was tied in complicated loops with scarves inserted under the pantyhose in the hip area, simulating wider female-like hips. The penis and testicles were tied backward within the gluteal fold, and the genital contours were not evident under the pantyhose. An object was inserted into the anus and connected to straps (Fig. 4a, b). The computer in the living room was switched on, and the last accessed page showed a pdf document about a creature named “Shah Amon Khan”, which was said to move so gracefully that it was no longer human-like. The deceased individual had taken photographs (“selfies”) of himself in the aforementioned outfit; these were also obtained from the computer (Fig. 5). No psychiatric preexisting conditions were known, and suicide notes were not found.