"I'm sorry, Tenth . . . it's all my fault . . . I've been really . . . scared since we came to this world . . . I threw a temper . . . took it out on Yamamoto, and let something like this . . ."
Based on a panel in Chapter 155: Return of Katekyo Hitman Reborn!
FULL VIEW PLEASE!
(Just as a note, he didn't get those injuries from fighting Yamamoto--the two of them were involved in a battle with someone else)
This is just one of those drawings where you reach a point where you can't draw anymore. I have issues with it, but I still like it.