“Dementia”
Poor Joe may not even realize he’s a pasty; a placeholder
He may have been compartmentalized and fed the notion it was “his turn”
I doubt, frankly, that he’s healthy
/shiny side out
“Poor Joe may not even realize he’s a pasty...”
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I’m assuming you meant “patsy,” but pasty certainly applies to the ill looking nature of his (lack of) complexion.