Old man shits diarrhea on the floor in the mental hospital staring into the came

Old man shits diarrhea on the floor in the mental hospital staring into the camera smiling standing over his juicy diarrhea pile no pants on

(nsfw:1.5),(low quality, worst quality:1.4), (bad anatomy), extra digit, fewer digits, (extra arms:1.2), bad hands, by (bad-artist:0.6), bad-image-v2-39000