A painting of a nativity scene with a manger and a dog

complete

((nipple)), ((((ugly)))), (((duplicate))), ((morbid)), ((mutilated)), (((tranny))), (((trans))), (((trannsexual))), (hermaphrodite), [out of frame], extra fingers, mutated hands, ((poorly drawn hands)), ((poorly drawn face)), (((mutation))), (((deformed))), ((ugly)), blurry, ((bad anatomy)), (((bad proportions))), ((extra limbs)), cloned face, (((disfigured))).(((more than 2 nipples))).[[[adult]]], out of frame, ugly, extra limbs, (bad anatomy), gross proportions, (malformed limbs), ((missing arms)), ((missing legs)), (((extra arms))), (((extra legs))), mutated hands, (fused fingers), (too many fingers), (((long neck)))