This is, actually, the epitome of Gary.

Hand held, manual focus AV mode, bounced flash.

Other info:

Exposure: f/5.6 1/8s, ISO 3200
Exposure Mode: Auto
Focal Length: 85.0 mm
Lens: EF-S17-85mm f/4-5.6 IS USM
Flash: Fired, compulsory mode
Metering Mode: Evaluative
Subject Distance: 0.9m
Custom Rendered: Normal process
White Balance: Auto
Scene Capture Type: Standard
Model: Canon EOS50D
Camera Raw
White Balance: Custom
Temperature: 3800° K
Tint: +4
Exposure: +0.4
Blacks: 1
Brightness: +49
Contrast: +43