The first design and drawing of our new Bookworm friend(?) was rather hasty, and completely freehand with no sketch or real planning.
I didn't quite like the result, and redid him as you can now see in Awful Hospital:
http://www.bogleech.com/awfulhospital/372.html
He's cuter, fatter, and with a couple weirder design twists now.
I also decided not to use the pixel style for him after all, since he will be showing up in other zones later. He's kind of an optional NPC that commenters will be able to use for a special service.