As it is

(nsfw:1.5),bad hand v4, very bad image negative_v1.3,(worst quality:2), (low quality:2), (normal quality:2), lowres, bad anatomy, bad hands, normal quality, ((monochrome)), ((gray scale)),nsfw, paintings, sketches, ''ugly'', ''disfigured'', ''deformed'', ''horrible'' , ''terrible'', ''awful'', ''disgusting'', repulsive'', ''unpleasant'', ''unattractive'', (hand),open legs,