worst quality, low quality, overexposed, grayscale, (((watermark, stethoscope))), signature, text, error, logo, letters, morbid, ugly, asymmetrical ears, deformed, malformed, depth of field, blur, blurry, artifacts, cartoon, render, anime, drawing, painting, ((hands)) bad anatomy, ((teeth)), open mouth, jewelry, zip, jeans, makeup, mascara, sad, cleft chin, mole, (((asymmetrical ears, deformed ears))), dark background, out of frame