ΔE 9.3, close: similar, with a visible difference side by side. Elfic Flesh is a little lighter, more muted, warmer than Screaming Skull.
Usually, if you are not matching paint already on the model. Close match (ΔE 9). Elfic Flesh is a little lighter, more muted, warmer than Screaming Skull.
The same difference applies the other way round: Screaming Skull is a little darker, more saturated, cooler.
ΔE is the colour difference between our two swatch estimates: under about 6 is close, over about 15 is loose. Real paints also differ in finish, coverage and how they thin, so test before you commit.
See Screaming Skull on the colour wheel See Elfic Flesh on the colour wheel
All matches: Screaming Skull equivalents · Elfic Flesh equivalents