Anime nurse with blood on her face and a nurse hat

Alaf in nurse costume posing for photo, close - fitting nurse costume, deayami kojima, Nurse Costume, けもの, blood on body, Blood splatters on the sides, Blood on clothes or face, Bloody, Ayami, 奈良美智, ayami koj ima

sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, bad anatomy,(long hair:1.4),DeepNegative,(fat:1.2),facing away, looking away,tilted head, lowres,bad anatomy,bad hands, text, error, missing fingers,extra digit, fewer digits, cropped, worstquality, low quality, normal quality,jpegartifacts,signature, watermark, username,blurry,bad feet,cropped,poorly drawn hands,poorly drawn face,mutation,deformed,worst quality,low quality,normal quality,jpeg artifacts,signature,watermark,extra fingers,fewer digits,extra limbs,extra arms,extra legs,malformed limbs,fused fingers,too many fingers,long neck,cross-eyed,mutated hands,polar lowres,bad body,bad proportions,gross proportions,text,error,missing fingers,missing arms,missing legs,extra digit, extra arms, extra leg, extra foot,((mole))