a drawing of a cadus with a snake and a ribbon, medical drawing, holding a caduceus staff, medical diagram, insignia, healthcare, tattoo design, fanart, medical depiction, by Elsie Few, by Harriet Zeitlin, family crest, nursing, shoulder patch design, medical image, by Hugh Hughes, by Meredith Dillman, royal insignia in background

(bad-image-v2-39000, bad_prompt_version2, bad-hands-5, EasyNegative, NG_DeepNegative_V1_4T, bad-artist-anime:0.7),(worst quality, low quality:1.3), (depth of field, blurry:1.2), (greyscale, monochrome:1.1), nose, cropped, lowres, text, jpeg artifacts, signature, watermark, username, blurry, artist name, trademark, watermark, title, (tan, muscular, loli, petite, child, infant, toddlers, chibi, sd character:1.1), multiple view, Reference sheet, long neck