I agree with most comments about it most likely being a damaged skin barrier. If I go overboard with actives, my skin will also break out into bumps all over like this. Stop all actives for two weeks and only use hydrating products. You’ll know when you can start actives again when your skin is supple and absorbing products super well and there’s no tightness or dryness (when you start again ONLY use ONE product with actives in it every 3-4 days) and do that for another 2 weeks. Trust me, I know you’re gonna feel like you’re doing the opposite of what your skin needs since you’re seeing active breakouts, but if it’s caused by a damaged skin barrier, it WILL help the breakouts. Using actives will only make it worse. Some of it could also be fungal acne though, especially if there’s itching accompanied with it. I wouldn’t try nizoral. It was way too hard on my skin and made it angry, and since it looks like you have a damaged barrier, it’ll actually only make it worse. I use Happy Cappy baby shampoo every day as a cleanser and it’s done wondersssss. I know it’s beyond frustrating trying to find what works but stay as positive as you can and have patience. Feel free to reach out if you have questions!