A woman with a skull in her hands and blood dripping down her face

1girl,horror,pale skin,open mouth,alarmed and panicky,fear,upper body,blood,with wide eyes,skull,

(ng_deepnegative_v1_75t),(badhandv4),(worst quality:2),(low quality:2),(normal quality:2),lowres,bad anatomy,bad hands,normal quality,((monochrome)),((grayscale)),