Boy with sad realistic appearance at school

(nsfw:1.5),(worst quality:1.4), (low quality:1.4), (monochrome:1.3), (oversaturated:1.3), bad hands, lowers, 3d render, cartoon, long body, ((blurry)), duplicate, ((duplicate body parts)), (disfigured), (poorly drawn), (extra limbs), fused fingers, >5 fingers, (twisted), malformed hands, ((((mutated hands and fingers)))), contorted, conjoined, ((missing limbs)), logo, signature, text, words, low res, boring, mutated, artifacts, bad art, gross, ugly, poor quality, low quality, missing asshole, malformed nipples