The Sign of the Horns: Medium Skin Tone emoji is a modifier sequence combining ? Sign of the Horns and ? Medium Skin Tone. It is used as a single emoji on supported platforms.
Sign of the Horns: Medium Skin Tone was added to Emoji 2.0 in 2015.
U+1F918
U+1F3FD
?? Sign of the horns
?? Emoji modifier fitzpatrick type-4