This is Evil Ernie's first appearance and was originally published by Eternity Comics in 1991-1992. It would be reprinted later by Chaos! Comics in 1996. This series also features the debut of Lady Death who was the driving force behind Ernie's psychotic rage. Initially she appears to be the product of his sick imagination but then she gains a corporeal form, laying doubts as to her origins.
Collected in Evil Ernie: Youth Gone Wild!.