A worm like protrusion is coming out of the top of the insect's head, not from the mouth. The insect is deceased.
11 Apr 2024.
Buckingham Springs, Bucks Co, PA.
Fungus on Harmonia axyridis.
took these several months ago but only recently i've become very interested in labouls, and remembered these i saw on a ladybird!
Corresponding beetle observation here: https://www.inaturalist.org/observations/201891876