there is a woman with a knife in her hand and a bloody background, in a halloween style, happy!!!, halloween art style, gapmoe yandere, yandere, halloween, nurse girl, zerochan, marin kitagawa fanart, ( ( misa amane # ) ), horror!! highly detailed, by Shingei, ( ( ( horror art ) ) )

(nsfw:1.5),lowres, ((bad anatomy)), ((bad hands)), text, missing finger, extra digits, fewer digits, blurry, ((mutated hands and fingers)), (poorly drawn face), ((mutation)), ((deformed face)), (ugly), ((bad proportions)), ((extra limbs)), extra face, (double head), (extra head), ((extra feet)), monster, logo, cropped, worst quality, low quality, normal quality, jpeg, humpbacked, long body, long neck, ((jpeg artifacts)), (((multiple girls)))