Produce a black and white image featuring a middle-aged man, visibly ill and exuding an aura of frailty, sitting on a chair or stool with his back facing the camera. He is situated in a cluttered and dilapidated Khrushchyovka apartment, emblematic of economic hardship during the Soviet era. The room should be filled with signs of neglect: dirty dishes piled up, empty bottles strewn about, and perhaps old, peeling wallpaper. The man's posture should reflect despondency or weariness, as he sits in isolation. Emphasize the man's silhouette from behind, with the lighting arranged to accentuate the starkness of the environment and the poignant solitude of the scene.

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))