a man's head with a pain distorted face and a suffering expression

un-detailed skin, semi-realistic, cgi, 3d, render, sketch, cartoon, drawing, ugly eyes, crooked teeth, (out of frame:1.3), worst quality, low quality, jpeg artifacts, mutilated, (extra fingers:1.2), (mutated hands:1.2), poorly drawn hands, poorly drawn face, (duplicate:1.2), (mutation:1.1), bad anatomy, extra limbs, (cloned face:1.1), (missing arms:1.1), (missing legs:1.1), extra arms, extra legs, too many fingers, long neck, bad anatomy, (strabismus:1.3), ((((black and white)))), ((((b&w))))