Bill Gates' face specifically shows signs of some sort of significant event in his life that made him "crack" into a sort of psychosis.
Not only is he a man who is deeply unhappy, but also someone who is terrified of making a "mistake" - whatever that might mean to him.
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He has an immense fear of prosecution, with most of his actions being motivated by the anxieties and insecurities caused by these fears.
It was, most likely, during a tumultuous time in his life (where prosecution loomed closest) and neurodivergence peaked when he went rogue.