A close up of a woman with blood on her face

Alphad woman with blood on her face and a knife in her mouth, horror game graphics,

(nsfw:1.5),umbrella, deformed, bad anatomy, disfigured, poorly drawn face, mutation, mutated, extra limb, ugly, disgusting, poorly drawn hands, missing limb, floating limbs, disconnected limbs, malformed hands, blurry, ((((mutated hands and fingers)))), watermark, watermarked, oversaturated, censored, distorted hands, amputation, missing hands, obese, doubled face, double hands, asian, b&w, black and white, sepia