delete the hand completely, high quality

(nsfw:1.5),cross-eyed, misshapen eyes, distorted eyes, deformed eyes, (nipples:1.1), (two heads:1.1), two face, bad lips, bad nose, out of frame, extra fingers, mutated hands, poorly drawn hands, poorly drawn face, mutation, deformed, ugly face, blurry, bad anatomy, bad proportions, abnormal skeleton, extra limbs, cloned face, disfigured, ugly nose, gross proportions, malformed limbs, missing arms, missing legs, extra arms, extra legs, fused fingers, too many fingers, long neck, poorly drawn eyes, double heads, double faces, two heads, poor composition, incorrect perspective, harsh lighting, cluttered elements, unnecessary distractions, poorly constructed details, low-quality textures, bad symmetry, inconsistent style, lack of depth, oversimplified design, unattractive elements, excessive use of artifacts, poorly drawn elements, text, logo, letters, incorrect shadows, unrealistic expressions, noise, fuzzy, oversaturated, out of focus