((((more than 4 fingers and a thumb on each hand)))), 

((((elongated or deformed hands)))),

((((elongated or deformed fingers)))),

(((NSFW)))), 

elongated body, elongated limbs, elongated neck, nsfw, ((2 heads)), 2 faces, cropped image, out of frame, deformed hands, twisted fingers, double image, malformed hands, multiple heads, extra limb,