In Fallout 2, if you kill a kid, you get a negative trait called “Child Killer.” This icon was proposed, but cut. From the actual designer:
This image was unused and the only Vault Boy image to ever be cut from Fallout 2. (I’m sure you can figure out why) I remember when I got the request to do a perk illustration for “Child Killer” that there would be no way to keep in from being offensive. I mean really! How do you make an illustration of “child killer” and keep it from being offensive? Anyway for some reason, I thought this was the least offensive way to do it. I have no idea what I was thinking. Even the designer who requested it realized it was a bad idea, so we fixed it. Looking back on it now, I can’t believe I drew this.