(masterpiece, 8K, photo-realistic:1.4), Victorian-era doctor, (impressively muscular arms:1.3), making peace sign, anxious look, (authentic 19th-century doctor's attire:1.1), aged stethoscope, clinic backdrop, Victorian medicinal bottles, brass scales, anatomy charts, (old photograph texture:1.3), warm sepia tones, medium shot, side view, mysterious aura.

(nsfw:1.5),(deformed iris, deformed pupils, sketch, cartoon, drawing, anime), text, 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, UnrealisticDream