There is no shame in Lil’ Kim’s game! The 42-year-old appears on tonight's episode of Hollywood Medium with Tyler Henry and even receives a message from her late BFF Notorious B.I.G.— but all fans can talk about is how different her face looks.

Even though it’s obvious that Kim has gone under the knife, she’s never fully admitted it — and commenters were still shocked by her plastic surgery transformation. Some comments were a little mean-spirited, with many commenters telling the hip hop star that she looked “deformed.”

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Other fans expressed concern and suggested that Kim should see a doctor. But others seemed disappointed that Kim would go to such drastic measures in order to completely change her face, and they reminded her that she was beautiful before all the plastic surgery.

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"Is she Lil Kim… or the puppet from Saw…?" one follower cruelly wrote while another added, "Gosh she looks so plastic."

This isn’t the first time Kim has shocked her fans with her plastic surgery procedures. Last spring, she posted a series of photos debuting her new, lighter skin tone — a process that would have involved skin bleaching — which outraged her fans.

MORE: Check Out Lil Kim's Most Scandalous Red Carpet Moments!

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In order to achieve her new look, Kim would have had to undergo a procedure to remove fat, skin, and tissue from her eyes, Botox injections to make her jawline look more chiseled, and a nose job, board-certified plastic surgeon Dr. Jennifer Levine told Us Weekly.

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The only plastic surgery that Kim has admitted to is getting at least two nose jobs, and in a 2005 interview with former Hot 97 DJ Angie Martinez, she revealed the heartbreaking reason was because she was involved in an abusive relationship and her ex-boyfriend broke her nose.

“It don't bother me because I told you, I’m beautiful,” Kim said about the backlash she received after getting her nose done. “I love myself.”

Scroll through the gallery below to see before and after photos of Kim's plastic surgery transformation!