I feel like this post is a bit unfair to some of the personality disorders that you didn’t mention, like Borderline Personality Disorder, which yes, does often carry with it some nasty behaviours, but at the same time isn’t anywhere near as objectionable as Antisocial Personality Disorder or Narcissistic Personality Disorder, and at the same time is much nastier for the person with it.
As for the comic itself, acute = short term, not severe, so checking all the boxes for a diagnosis of Antisocial Personality Disorder means that you’ve excluded acute diseases that could mimic it, leaving only the pervasive, persistent state that is a personality disorder.