3d,
book,
bag,
extra twisted fingers,  
deformed hands,
deformed,   
cut off, 
disfigured, 
mutated, 
mutilated, 
mangled, 
malformed,   
poorly drawn composition,
ugly, 
disgusting,  
out of focus, 
low res, 
blurry,
grain,  
tall,
low contrast soft lighting,
floating disconnected limbs