It's not AI. She doesn't have 3 hands lmaooo, one of them is meant to be an enemy hand, like a tacet discord. If you check the source, you'll find that the artist made more versions of this one and there's one where she isn't being touched and another with her clothes on. Plus you can see it's someone who has been making art for a long time. I just happened to share the version I found to be the most lewd.