ManagementSpeak: Lean and Mean.
Translation: Famished and Feeble.

Apparently mine wasn't choosen... skinny and pissed. I can't claim honors though, I heard it as a joke.

Alternates ---

Frail

Famished and Feeble.

Wizened and Weak.

Gaunt

Gaunt and Grudging.

Gaunt and Greedy.

Gaunt and Grumpy.

Down and out

Scrawny and Squalid.

Seedy and Greedy.

Shabby and Crabby.

Poor and Ugly.

Bad mood

Haggard and Hostile.

Starved and Surly.

Stressed and Surly.

Slim and Grim.

Medical/forensic

Bulimic and Bi-Polar.

Malnourished and Malevolent.

Skeletal and Sadistic.

Bad hygiene

Spent and Bent.

Skanky and Cranky.

From ISSuvivor.com