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Sit start with hands matched on the vertical flake. From there, continue up the flake to the horizontal rail, make a big move to the lip, and top it out.
Part of the intial flake is suspect, but it should be just fine as long as you don't completely load it.
This is the easternmost problem on the south face of Dermal Death Boulder.
A pad or two, the landing is really good.
BETA PHOTO: Antifaz problem beta.