Vespasian with a Vitellian portrait

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same RIC number as yours, but without the Adam's apple and he doesn't look like Otho:
16 x 19 mm, 3.17 g; Rome 70 AD

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I believe (someone please step in if I'm incorrect) there's no credible portrait of Vitellius outside of the coins.

The "Grimani Vitellius" (currently in the Archaeological Museum in Venice) was long regarded as an authentic ancient sculpture of the guy:





This bust was supposedly dug up by Cardinal Grimani in Rome in 1505, and was identified with Vitellius almost immediately (certainly by 1531).

Unfortunately educated opinion today is that this isn't Vitellius. The bust has been dated on artistic grounds to the Antonine era, although a minority opinion regards it as an outright 16th Century forgery.

The famous bust residing in the Louvre (used by e.g. Wikipedia) is regarded by the Louvre as a modern production: a "free imitation of an antique bust from the Grimani collection in Venice."



And all the other nice-looking Vitellius heads are copies of the Grimani Vitellius or the Louvre one, as I understand.

I borrow this information mainly from the J. Paul Getty Museum Journal: Volume 5, 1977

 

In real life and with the rolls of fat under the chin, I doubt you would be able to see the Adam's Apple.