Sick scrawny anime boy on hospital bed with black hair and blue eyes sickly looking

(nsfw:1.5),multiple people, ugly, 2 person, 2 men, 2 girl, bad anatomy, Signatur, bad proportions, black and white, blurry, cloned face, deformed, disfigured, extra arm, extra arms, extra leg, extra limbs, fused fingers, gross proportions, long neck, lowres, malformed limbs, missing arms, missing legs, more than one head, morbid, mutated hands, mutation, out of frame, out of screen, poorly drawn face, poorly drawn hands, too many fingers, two face, visible fingers, visible hands, watermark.