Gift of Mrs. Potter Palmer, Jr.

According Institute of Arts:
Artist and architect Alart du Hameel engraved the word Bosche at the top of most of his prints. This likely refers to his birthplace of ’s-Hertogenbosch. The undulation, rowdiness, and irrepressible flatulence of the creatures are also characteristic of Hieronymus Bosch, indicating the design may be after a painting by Bosch, now lost. In this chaotic battle between good and evil, only a select few souls are ushered to heaven through the narrow chasm in the upper left corner. The foreground teems with devils tormenting those damned for all eternity.

Similar images, whether or not in mirror image, can be seen for example in the British Museum in London, the Art Institute of Chicago and the Kupferstichkabinett in Berlin.