score_9, score_8_up, score_7_up,source_anime,rating explicit, BREAK ((sadistic smile, yandere eyes)),perfthig,sadistic woman,expressive eyes,perfect eyes,Goth girl,looking down at viewer,((black hair,purple eyes)),((mature female)),((arm tattoos:1.9)),intricate tattoos,abstract tattoos,((veiny legs)),((veiny arms:2.9)),(very long hair:1.9),(((female bodybuilder:3.9))),((thick thighs:1.9)),((hyper pectorals:2.9)),(((abs:1.9))),(((hourglass figure:3.9))),(((hyper lats:1.9))),((narrow waist,hyper hips)),(((hyper muscular ass:1.9))),((black clothes,sexy nurse clothes:1.9)),((black lace garter thigh highs:1.9)),zPDXL2, black lipstick, black eyeliner, black nails,highleg,BREAK ((hospital:1.9)) ,(((dark theme,dark atmosphere:1.9))),detailed background,dramatic shadows,depth of field