Septimius Severus, AE22 of Tium, Bithynia. 

LOY CEPTI CEOYHROC, laureate head right.
TIANWN (clockwise from top left), Tyche-Hygieia standing left by altar, holding cornucopiae and feeding a serpent rising from the altar before her.

Unpublished reverse for Sept. Severus, but known for Marcus Aurelius (RecGen 72-73, BMC 11). Dionysos Numismatics, NZ0120.

Sold by Dionysos Numismatics, item NZ0120 on ebay, Dec. 2020.