Attending Cruz's Tuesday campaign event, Texan Tammy Talpas approached the 47-year-old and introduced herself as "a woman over 50 who has seven active pre-existing conditions."
The lanyard reads, "Texas Deserves Better Than Ted Cruz."
The trickster later noted on Twitter that she'd managed to get the photo by unbuttoning her jacket just seconds before taking the picture.
Cruz, who recently kicked off his re-election bid in The Lone Star State, has repeatedly faced backlash over his critiques of the Affordable Care Act and for his role in forcing a 2013 government shutdown to repeal Obamacare.
As for another popular theory about Cruz, whether or not he is the Zodiac Killer, remains to be uncovered.