A close up of a skeleton with a knife in its mouth

Portrait of a realistic skeleton with a heart in its chest, black and white contrast lighting in 4k

(nsfw:1.5),lowres, text, error, cropped, worst quality, low quality, jpeg artifacts, ugly, duplicate, morbid, mutilated, out of frame, extra fingers, mutated hands, poorly drawn hands, poorly drawn face, mutation, deformed, blurry, bad anatomy, bad proportions, extra limbs, cloned face, disfigured, gross proportions, malformed limbs, missing arms, missing legs, extra arms, extra legs, fused fingers, too many fingers, long neck, username, watermark, signature, woman, beard, facial hair, black hair