A close up of a man with a beard and a shirt on

(best quality,4k,8k,highres,masterpiece:1.2),ultra-detailed,(realistic,photorealistic,photo-realistic:1.37),HDR,UHD,studio lighting,ultra-fine painting,sharp focus,physically-based rendering,extreme detail description,professional,vivid colors,bokeh,emotional (portrait:1.1),(hospital setting),(emotionally charged),(sorrowful, heartbroken),(dark, gloomy),(introspective),(patient),(anguish, despair),(tears streaming down his face),(muscular, strong physique),(characterful face),(facial expression:1.1),(closed eyes),(wrinkled forehead),(beard, rugged appearance),(blurred background),(hospital bed),(medical equipment),( IV drip, ventilator, heart monitor),(sterile environment),(pale, washed-out colors),(overhead lighting),(eerie shadows),(tear-streaked cheeks),(empathy),(sympathy),(deep emotion),(feeling of isolation),(heartfelt moment),(storytelling),(powerful emotions),(cathartic),(drama),(poignant),(atmospheric),(pathos),(tragic beauty)

verybadimagenegative_v1.3, ng_deepnegative_v1_75t, (ugly face:0.8),cross-eyed,sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, bad anatomy, DeepNegative, facing away, tilted head, {Multiple people}, lowres, bad anatomy, bad hands, text, error, missing fingers, extra digit, fewer digits, cropped, worstquality, low quality, normal quality, jpegartifacts, signature, watermark, username, blurry, bad feet, cropped, poorly drawn hands, poorly drawn face, mutation, deformed, worst quality, low quality, normal quality, jpeg artifacts, signature, watermark, extra fingers, fewer digits, extra limbs, extra arms,extra legs, malformed limbs, fused fingers, too many fingers, long neck, cross-eyed,mutated hands, polar lowres, bad body, bad proportions, gross proportions, text, error, missing fingers, missing arms, missing legs, extra digit, extra arms, extra leg, extra foot, ((repeating hair)), NSFW, naked body