I drew these guys while trying to put together my "wanted" poster, but they didn't seem like criminals, so they became abandoned concepts instead. They were about to become part of my giant stack of discarded sketches when I noticed that the two drawings kind of fit together side-by-side. So this scene doesn't make sense because it was never meant to be a scene. All the same, here's some "forced sense" for it:
While the older gentleman on the left is trying to figure out why he has fewer fingers on his left hand than everyone else in town, the guy on the right stares in hat-floating amazement at the remains of a man who was born with his head upside down. Anatomy... not a popular subject in the Wild West... or for me.