Sterling Ruby's *Exhm/advair + Lindt Autobiography (3379)* is a raw and layered work combining collage and paint on cardboard, merging consumer detritus—pharmaceutical and confectionery packaging—into a visceral visual narrative. The juxtaposition of an asthma inhaler brand and a luxury chocolate label speaks to Ruby's ongoing exploration of desire, consumption, and the American condition. The cardboard support reinforces the work's deliberately abject, street-level sensibility, grounding its autobiographical impulse in the material language of everyday waste.