There is a tissue box on top of a stack of books

tissue box,At the top of a pile of jagged books, There is an opening，Pull out the tissue， Essays and writings, made of lab tissue, Filled with books, Victorian, high quality paper, detailed book illustration, high quality”, high quality”, Books, High quality detailing, immaculately detailed, old book, lisa parker, with one vintage book on a table, medical book

multiple persons, 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)))), watermark, watermarked, oversaturated, censored, distorted hands, amputation, missing hands, obese, doubled face, double hands, sepia, balck and white, grayscale