((((ugly)))), 

(((duplicate))), 

((morbid)), 

((mutilated)), 

(((tranny))), 

(((trans))), 

(((trannsexual))), 

(hermaphrodite), 

[out of frame], 

extra fingers, 

mutated hands, 

((poorly drawn hands)), 

((poorly drawn face)), 

(((mutation))), 

(((deformed))), 

((ugly)), 

blurry, 

((bad anatomy)), 

(((bad proportions))), 

((extra limbs)), 

cloned face, 

(((disfigured))). (((more than 2 nipples))). [[[adult]]], 

out of frame, 

ugly, 

extra limbs, 

(bad anatomy), 

gross proportions, 

(malformed limbs), 

((missing arms)), 

((missing legs)), 

(((extra arms))), 

(((extra legs))), 

mutated hands, 

(fused fingers), 

(too many fingers), 

(((long neck)))