Two black eyes, at least one of which is an orbital fracture, his nose looks like it's been broken, he's got something with the jaw as well that his scruffy beard hides. Can't tell with the teeth, he's so fat that it's not immediately obvious and I feel the wigger in him would mention it.
I've seen MMA fighters get the shit kicked out of them for 25 minutes and look only slightly worse than what Ralph looks here after maybe a minute tops of getting smacked.
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Maybe 2 or 3 lacerations and some forehead bruising, otherwise, not too far off. Guy on the right isn't his friend, it's the guy who fucked his face up for 25 mins. Difference is, that's 25 minutes of someone wanting to knock him out. Does beg the question of how badly did this guy want to smash Ralph's face in to make him look like that?
Edit: the swelling around his face reminds me of what I looked like after having teeth extracted the day after. Almost box like in the swelling. Now I'm really thinking he might have lost a tooth or two.