A black and white photo of a skeleton with a skeleton in the background

Distorted stethoscope, low quality, worst quality, deformed, monochrome, malformed hands, extra limbs, poorly drawn face, poor quality resolution, incoherent, poorly drawn, low quality, bad resolution, poorly drawn hands, poorly drawn face, style mutation, disfigured, disjointed, out of frame, duplicate, watermark, signature, text, ugly, morbid, mutated, ugly, deformed, blurry, bad anatomy, bad proportions, extra limbs, cloned face, disfigured, out of frame, ugly, extra limbs, bad anatomy, gross proportions, malformed limbs, missing arms, missing legs, extra arms, extra legs, mutated hands, fused fingers, too many fingers, incorrect hands, extra fingers, fused fingers, missing facial features, long neck, sad face, details on the shirt