I wanted to draw Ramsay Bolton how I perceived him in the book, as opposed to how he’s portrayed in the show. 

Ramsay is an ugly young man, even when dressed finely. He is big boned and slope shouldered, with a fleshiness indicating he will be fat later in life. Ramsay’s skin is pink and blotchy, his nose broad, his hair long and dark and dry.Although his mouth is small, Ramsay’s lips are wide and meaty, wormy looking, and he smiles a wet-lipped smile. His distinctive eyes resemble Roose’s - small, close-set, and oddly pale, like two chips of dirty ice. Ramsay sometimes wears a garnet cut in the shape of a drop of blood in his right ear.