Originally Posted by JtanK

For steam users:
rightclick TB in library - > properties -> set launch options - > for every option use "-", skip opt; e.g. "-blood 0 -bruise 0 -hud 0 -hair 1".

For windows users:
Make a shortcut of your toribash.exe - > rightclick, go into properties -> the path it leads to will look like: "C:/whatever/whatever/Toribash.exe", change it to "C:/whatever/whatever/Toribash.exe" -blood 0 -bruise 0 -hud 0 -hair 1
then use said shortcut to launch TB rather than main exe.