A little uncertain about the tags for this image. The extra limbs are referred to as 義腕, which does translate to "prosthetic arm." However, the page for prosthetic_arm uses 義手 instead. This might be to distinguish the fact that Fiore's prosthetic arms are extraneous limbs, rather than replacements for missing limbs.
Still, I think the tag "prosthetic arm" probably fits the best, unless there's another one that I'm forgetting.
I'm guessing that someone posted this picture on twitter accompanied with text calling OranjDeLaRey things like "goblin", pejoratives regarding the shape of his nose and other such "noticer" vernacular for a total of sixteen slurs.
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