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Without AI
Correct, without AI. but still a fake image.
Artist Alison Jackson has said that she chose to self-publish spoof photographs of Donald Trump as part of a protest against the potentially chilling effect a “litigious” president could have on artistic freedom.
Other images in the collection make it much more clear that the person in the middle isn't Trump.
The fact that so many people upvoted you without actually corroborating this is disgusting. You can hate the man for very legitimate reasons, there's plenty enough that you don't have to make up bullshit. All you do is add fuel to the GOP argument when you blatantly lie about shit like this.
It's obvious enough that it is Photoshopped (apart not very well done), it's a meme like the first one, but IMHO much more likely given Trump's ideology.
https://www.vanityfair.com/news/2016/09/artist-alison-jackson-donald-trump
The photos themselves are staged with actors. Not a complete Photoshop. Although I'm sure they were all digitally touched up.