Three people sitting at a table with a cake and balloons

Man celebrating his birthday with his wife

(nsfw:1.5),deformed, bad anatomy, disfigured, poorly drawn face, mutation, mutated, extra limb, ugly, disgusting, poorly drawn hands, missing limb, floating limbs, disconnected limbs, malformed hands, blurry, ((((mutated hands and fingers)))), stacked torsos, totem pole, watermark, watermarked, oversaturated, censored, distorted hands, amputation, missing hands, obese, doubled face, double hands, b&w, black and white, sepia