Gloomy picture, medallion on a thin chain

(nsfw:1.5),EasyNegative, badhandv4, painting, sketches, low quality, deformed, bad anatomy, lowres, monochrome, grayscale, jpeg artifacts, error, cropped, deformed eyes, long body, inaccurate limb, bad hands, mutated hands, mutated legs, missing fingers, extra fingers, extra arms, text, signature, watermark, username, artist name, large breasts, infant, toddler, tanned skin, sucking