A slightly bearded face with an expression of being in excruciating and unbearab

a slightly bearded face with an expression of being in excruciating and unbearable agony

(deformed, distorted, disfigured:1.3), poorly drawn, bad anatomy, wrong anatomy, extra limb, missing limb, floating limbs, (mutated hands and fingers:1.4), disconnected limbs, mutation, mutated, ugly, disgusting, blurry, amputation