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Is it a scar? Looks more like a skin fold (or whatever you call it in English) because he’s old and fat
It is a scar. it reads more clearly in other pictures
Spinal cord surgery https://www.distractify.com/p/why-does-elon-musk-have-a-scar-on-his-neck
Who fucking cares
One thing is for sure, it wasn’t from playing Path of Exile at a high level.
It’s the closure flap for his skin suit.