That's some metaphor!

[ There's a surprised burst of laughter, but, ah. Karkat is serious, isn't he? So Ryoji has to reel himself back in and be serious too. ]

I'd ask what you think could be worse, but I'm sure there are many... But if one day you wake up a monster with too much to hide, people noticing isn't bad. Noticing means people care, and caring means they will help. Even something like horns, I think they will.