Anime girl with blood on her face and a knife in her mouth

(Digital Artwork:1.3) of (Visual novel:1.3),(Romantic:1.3) male focus,white shirts,black eyes,black-brown hair|{short hair|buzz cut}, dramatical angle,intense angle,Hale and hearty,CGSociety,ArtStation,(Vivid Colors:1.3),monster,ugly,surgery,evisceration,morbid,cut,open,rotten,mutilated,deformed,disfigured,malformed,missing limbs,extra limbs,bloody,slimy,goo,Richard Estes,Audrey Flack,Ralph Goings,Robert Bechtle,Tomasz Alen Kopera,H.R.Giger,Joel Boucquemont,ArtStation,DeviantArt contest winner,thematic background

(nsfw:1.5),verybadimagenegative_v1.3, ng_deepnegative_v1_75t, (ugly face:0.8),cross-eyed,sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, bad anatomy, DeepNegative, facing away, tilted head, {Multiple people}, lowres, bad anatomy, bad hands, text, error, missing fingers, extra digit, fewer digits, cropped, worstquality, low quality, normal quality, jpegartifacts, signature, watermark, username, blurry, bad feet, cropped, poorly drawn hands, poorly drawn face, mutation, deformed, worst quality, low quality, normal 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, extra arms, extra leg, extra foot, ((repeating hair))