A muscular, shirtless Pyramid Head from Silent Hill, wearing vests made of human

a muscular, shirtless Pyramid Head from Silent Hill, wearing vests made of human skin, holding a large rusty butcher knife and dragging it across the floor, blood and rust, horror, sexual, monster, (best quality,4k,8k,highres,masterpiece:1.2),ultra-detailed,(realistic,photorealistic,photo-realistic:1.37),dark fantasy,chiaroscuro lighting,moody atmosphere,cinematic

(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)), bad fingers, female head, small breasts, female hands, bald, not strong, skinny, small body, manly face, male face, beard, tag, not strong arms, European face, not perfect, bad picture