(Highest quality)、live-action、Sticking out a long tongue、Snake Tongue

(Highest quality)、live-action、Sticking out a long tongue、Snake Tongue、Squat pose、Spread your legs wide、Bow-legged、Showing off her shaved pussy with her legs spread in an M-shape、Wearing black pantyhose、Thigh muscular、Breast Exposure、short hair、Orgasm facial expression、a dark twisted silent hill nurse, beautiful detailed eyes, beautiful detailed lips, extremely detailed face and skin, long eyelashes, sinister expression, tattered bloody nurse uniform, hospital gown, medical equipment, ominous lighting, dark shadows, gritty industrial setting, horror atmosphere, moody color palette, dramatic chiaroscuro lighting, (best quality, 4K, 8K, highres, masterpiece:1.2), ultra-detailed, (realistic, photorealistic, photo-realistic:1.37), highly detailed, cinematic, dramatic composition