There is a man sitting at a desk with a book

elbow and arm

(nsfw:1.5),(green tint:0.7),(dark),(shadow), EasyNegative, extra fingers, fewer fingers, (worst quality:2), (low quality:2), (normal quality:2), lowres, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, age spot, glans, lowres,bad anatomy,bad hands, bad eyes, text, error, missing fingers,extra digit, fewer digits, cropped, worstquality, low quality, jpegartifacts,signature, watermark, username,blurry,bad feet, cropped,poorly drawn hands,poorly drawn face,mutation,deformed,worst quality,low quality, jpeg artifacts,signature,watermark,extra fingers,fewer digits,extra limbs,extra arms,extra legs,malformed limbs,fused fingers,too many fingers,long neck,cross-eyed,mutated hands,polar lowres,bad body,bad proportions,gross proportions,text,error,missing fingers,missing arms,missing legs,extra digit,prompt