When the mystical barriers protecting Earth from the Old Ones weakened, GHaszaszh Nyirh set up shop in a famine stricken part of Africa. Where he ruled as a god, providing the starving locals with food and warping their bodies. The price for his help was human sacrifices and surrendering their souls to him.
His temple was made of living flesh. It could fire mystical optical energy blasts with pinpoint accuracy, could change form, and had the the ability to create. Dr. Strange confronted the entity, and was successful in banishing him.