Translation:

Four organs pass through difficulty level 5

Method One:

Intestine/Lung + Snowball + Spinal Cord/Stomach (high efficiency) + Spider Gland, mainly increase range, health, and basic damage.

Method Two:

Intestine/Lung (high efficiency) + Electricity/Schrödinger + Spinal Cord/Stomach (high efficiency) + Slime Gland, mainly increase range, health, and basic damage. The number of slime glands in the picture can be increased or decreased as needed; slimes or anchovy are both okay.