A close up of a group of medals with ribbons on a black background

There are 12 levels of medals

(nsfw:1.5),(flower:1.2), (Facial Marking:1.1), nude, (bad art, low detail, pencil drawing:1.4), (plain background, grainy, low quality, mutated hands and fingers:1.4), (watermark, thin lines:1.2), (deformed, signature:1.2), (blurry, ugly, bad anatomy, extra limbs, undersaturated, low resolution), disfigured, deformations, out of frame, amputee, bad proportions, extra limb, missing limbs, distortion, floating limbs, out of frame, poorly drawn face, poorly drawn hands, text, malformed, missing fingers, cropped, exposed legs, exposed midsection, exposed stomach, facing away from the camera, exposed back