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thats the ghost.
i have a few mods installed but nothing crazy. i have the unofficial patches, deadly reflex, unique landscapes, enhanced economy, better cities, midas magic, immersive weapons, oscuros oblivion overhaul, natural environments. none of those are supposed to add anything like this though. i tried googling "oblivion skingrad ghost" and got no results either.
Can't believe it's been a year. Guy never really found what happened
♥♥♥♥
(in my case, at least) it comes from the mod Basic Primary Needs. It's a halucination of a ghost holding a pillow. It means your Sleep need is empty. You gotta sleep.