A man with a stomach pain is shown in this image

there is a man with a stomach pain in a living room, heart effects, half image, photo shot, heart emblem on chest, still image, sad, man with a blue heart, coughing, photo - shot, a wooden, uploaded, stock photo, pain, real heart, painful, closeup photograph, looking across the shoulder, mascular, wooden, heart rate --auto --s2

(nsfw:1.5),(mutation), two faces, ugly eyes, (ugly face), drawing, (deformed iris, deformed pupils, semi-realistic, cgi, 3d, rendering, sketch, cartoon, drawing, anime:1. 4), text, close-up, cropped, out of frame, worst quality, low quality, jpeg artifacts, ugly, duplication, painful, disfigured, extra fingers, mutated hands, poorly drawn hands, poorly drawn face, mutation, deformed, blurred, dehydrated, poor anatomy, poor proportions, extra limbs, cloned face, disfigured, rough proportions, deformed limbs, missing hands, absent legs, extra arms, extra legs, intergrown fingers, too many fingers, long neck, less than five fingers, two hands, more than five fingers, ugly palms, (ugly hands), computer graphics, pichar, watermark, anime, cartoon, (3d), computer games, obesity, fat, ((disfigured)), ((bad art)), ((deformed)), ((poorly drawn)), ((extra limbs)), ((close-up)), (black and white)), weird colors,