A close up of a woman with a concerned look on her face

Middle-aged blonde woman, haggard appearance, taking medicines, dark circles, messy hair, in a hospital bed ((thin, small)), photorealistic, photo, masterpiece, realistic, realism, photorealism, high contrast, photorealistic digital art trend in Artstation 8k HD high definition detailed realistic, detailed, skin texture, hyper detailed, realistic skin texture, armor, best quality, ultra high resolution, (photorealistic: 1.4), high resolution, detailed, raw photo, sharp re, by lee jeffries nikon d850 film stock photography 4 kodak camera portra 400 lens f1.6 rich colors hyper realistic texture dramatic lighting irrealengine trending on artstation cinestill 800,

(nsfw:1.5),((3d, cartoon, anime, sketches)), (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), bad anatomy, out of view, cut off, ugly, deformed, mutated, ((young)), EasyNegative, paintings, sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, age spot, glans,extra fingers,fewer fingers,, "(ugly eyes, deformed iris, deformed pupils, fused lips and teeth:1.2), (un-detailed skin, semi-realistic, cgi, 3d, render, sketch, cartoon, drawing, anime:1.2), text, close up, cropped, out of frame, worst quality, low quality, jpeg artifacts, ugly, duplicate, morbid, mutilated, extra fingers, mutated hands, poorly drawn hands, poorly drawn face, mutation, deformed, blurry, dehydrated, bad anatomy, bad proportions, extra limbs, cloned face, disfigured, gross proportions, malformed limbs, missing arms, missing legs, extra arms, extra legs, fused fingers, too many fingers, long neck"