A poor miserable, emaciated fellow; one quite an otomy. See Otomy.—He looked as pleasant as the pains of death.
Definition taken from The 1811 Dictionary of the Vulgar Tongue, originally by Francis Grose.
Death Hunter * Deep-oneNathan Bailey's 1736 Dictionary of canting and thieving slang
John S. Farmer's collection of canting songs and slang rhymes