Anime girl with blue hair and blue eyes standing in a doorway

(artwork illustration luminosity desinger:1.2), (best artist illustrator painter:1.2), (1girl), solo, laughing manically, wearing nurse's clothes, macabre smile, bloody lips, bloody clothes, horror movie set of a macabre hospital, gothic cinematic lighting of Paramount studios, Wit, giving a claustrophobic air, in a hostile and dark place--Niji:5--dark hostile lighting--Paramount Studios--studio wit--Graphic perfection. --s2

(nsfw:1.5),(low quality:1.15), no quality, bad quality, crap quality, low resolution, lowres, no detail, low detail, (deformation:1.15), (deformed:1.1), (mutation:1.1), (mutated:1.15), (extra fingers:1.05), (extra toes:1.05), (extra arms:1.05), (extra hands:1.05), (extra digits:1.15), extra limbs, extra eyes, ugly, incomplete, text, title, description, logo, watermark, image artifacts, spaghetti body, conjoined twins, conjoined body parts, big breast, massive breast, major breast, big tits, massive tits, major tits, hentai, eroge, nukige, pornographic, porn, XXX, erotica, skimpy, slutty, nude, nudity, naked, bad_hands, line art, present day, past, bulky mecha, gundam, big mechas, large mechas