Hieronymus Bosch style , a man his holding his head in sadness

worst quality, normal quality, low quality, low res, blurry, text, watermark, logo, banner, extra digits, cropped, jpeg artifacts, signature, username, error, sketch ,duplicate, ugly, monochrome, horror, geometry, mutation, disgusting,lowres, text, error, cropped, worst quality, low quality, jpeg artifacts, ugly, duplicate, morbid, mutilated, out of frame, extra fingers, mutated hands, poorly drawn hands, poorly drawn face, mutation, deformed, blurry, dehydrated, bad anatomy, bad proportions, ex