Birthday cake with green ribbon and roses

(nsfw:1.5),Deformed, blurry, bad anatomy, disfigured, poorly drawn face, mutation, mutated, extra limb, ugly, poorly drawn hands, missing limb, blurry, floating limbs, disconnected limbs, malformed hands, blur, out of focus, long neck, long body, ((((mutated hands and fingers)))), (((out of frame)))