YOU SAID:

abel has a fat nose and he is ugly and has issues in his head

INTO JAPANESE

アベルは鼻が太くて醜くて頭に問題があります

BACK INTO ENGLISH

Abel has a thick nose, ugly and head problems

INTO JAPANESE

アベルは鼻が太く、醜くて頭に問題があります

BACK INTO ENGLISH

Abel has a thick nose, is ugly and has a head problem

INTO JAPANESE

アベルは鼻が太く、醜く、頭に問題があります

BACK INTO ENGLISH

Abel has a thick nose, ugly, and head problems

INTO JAPANESE

アベルは鼻が太く、醜く、頭に問題があります

BACK INTO ENGLISH

Abel has a thick nose, ugly, and head problems