Modified to a positive eight-pointed star

(nsfw:1.5),two head, (visible hand:1.2), (ugly:1.2), duplicate, morbid, out of frame, (poorly drawn hands:1.2), (poorly drawn face:1.2), mutation, deformed, blurry, bad anatomy, bad proportions, extra limbs, cloned face, disfigured, gross proportions, malformed limbs, long neck