Just checked and it is indeed an AI image based on a Asuka reference, with some change in Photoshop to make it seems less AI...

It was posted a year ago on Baldur's Gates subreddit. Technically no AI on the sub hence trying to hide it.

https://www.reddit.com/r/BaldursGate3/comments/162xar0/command_grovel/?rdt=36411

I found a pretty neat description of a process by the redditor GenderJuicy and generally arguing for it the coments :

"Looks like he took this image and plugged it into ControlNet with a lower percentage, https://i.imgur.com/y3p7dN1.jpg, then used this LoRA https://civitai.com/models/106337/shadowheart-baldurs-gate-3-character-lora then took the output and used the Facet filter in Photoshop a few times to hide the "AI-ness", thus the weird design inaccuracies, nebulous inhuman designs and such.

Edit: Here you go, I did this in 2 seconds after downloading these and opening up Stable Diffusion, then used the Facet filter in Photoshop after pasting in the "Pathetic" text over it. https://imgur.com/0srdUM1

If you're going to make AI images and post them, don't act like you "made it in Photoshop". Pathetic."

Also found a guy explaining it in the coments of a repost :

https://www.deviantart.com/bitspirit3/art/Command-Grovel-979292113

I gotta admit, the brush strokes got me too it's pretty well done!