There is a picture of a man and woman in a room

A doctor sits in a chair and communicates with a patient，Perfect facial details，clinic scene，3d style，8k

pale skin,(worst quality, low quality, normal quality:1.4),(inaccurate limb:1.2),white background,simple background,bad anatomy, bad hands, text, error, extra digit, fewer digits, cropped, worst quality, low quality, normal quality, jpeg artifacts,signature, watermark, username, blurry, artist name,bad feet,(((ugly))),(((duplicate))),((morbid)),((mutilated)),(((tranny))),mutated hands,(((poorly drawn hands))),(((blurry))),((bad anatomy)),(((bad proportions))),extra limbs,cloned face,(((disfigured))),(((more than 2 nipples))),((((missing arms)))),(((extra legs))),mutated hands,(((((fused fingers))))),(((((too many fingers))))),(((unclear eyes))),sad,missing fingers, low quality body parts, missing body parts, disproportional body parts, indistinguishable body parts, branched body parts, bent, body parts, rheumatism finers, ugly fingers, melted fingers, too fat, too skiny, low quality female, low quality male, poor colors, low quality clothes, poor background, wholesome, 3D, CG, less details, censored, multiple legs, Lesbian, gay, ENSD: 31337, Size: 480x640, Seed: 3253182695, Steps: 20, Sampler: DPM++ 2M Karras, CFG scale: 7, Clip skip: 2, Model hash: e4b17ce185, Hires steps: 10, Hires upscale: 1.5, Hires upscaler: ESRGAN_4x, Denoising strength: 0.55