Anime characters dressed in costumes and holding a book

Character design，Q version，tchibi，Cute，The ratio of the head to the body，clothing design，Lolita prostitute，Gorgeous dress，mitts，curlies，very intricate，Exquisite，shift dresses，Bow knot，frilld，ribbon，bandagens，Nurse style，Huge syringe，pill，Red Cross，y2k，egirl，Unilateral eye patch，Love decoration，subculture，Sick，bloods

(nsfw:1.5),(worst quality, low quality:1.4), (((distorted hands))),((disfigured)), ((bad art)), ((deformed)),((extra limbs)),((b&w)), (((duplicate))), ((morbid)), ((mutilated)), extra fingers, mutated hands, ((poorly drawn hands)), ((poorly drawn face)), (((mutation))), (((deformed))), ((ugly)), blurry, ((bad anatomy)), (((bad proportions))), ((extra limbs)), cloned face, (((disfigured))), out of frame, ugly, extra limbs, (bad anatomy), gross proportions, (malformed limbs), ((missing arms)), (((extra arms))), (((extra legs))), mutated hands, (((fused fingers))), (too many fingers), (((long neck))), ugly, tiling, poorly drawn hands, poorly drawn feet, poorly drawn face, out of frame, mutation, mutated, extra limbs, extra legs, extra arms, disfigured, deformed, cross-eye, body out of frame, blurry, bad art, bad anatomy, (text), signature, monster, animal, big nipples, ((distorted boobs)), (arms up)