There is a close up of a human skull with teeth

ectoplasmic mammalian neuroanatomist smile

(not_safe_for_work:1.2), unattractive, boring, (worst_quality:1.4), (low_quality:1.4), monochrome, (duplicates:0.75), duplicate faces, multiples, (superfluous markings:0.7), merged limbs, warped hands, stray fingers, teeth-lips, simple background, imperfect feet, (watermark, signature, identification, name, company, text), (ghibli grain, sketch, cartoon, drawing, anime, manga, realism, semi-realistic, cgi, 3d, render:1.4)