Its the same chick. There are very few trannies of that particular plain but ugly visage on the planet. Her original, untouched eyebrows probly look like Dumbledore's.
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Yes, it's her. She actually wore this on a Today Show interview regarding the Chinavirus "vaccine."
Source for those interested:
https://www.ibtimes.sg/melinda-gates-upside-down-cross-necklace-creates-controversy-netizens-call-her-satanist-45259

