A wounded and sick children at war, children in tattered clothes

a wounded and sick children at war, children in tattered clothes, children with bandaged wounds, children huddled in fear, children crying, children holding onto each other, children in a destroyed city, rubble and debris around them, dust and smoke in the air, harsh lighting, gritty and somber atmosphere, muted color palette, high contrast, cinematic composition, emotional and impactful, (best quality,4k,8k,highres,masterpiece:1.2),ultra-detailed,(realistic,photorealistic,photo-realistic:1.37)

worst quality, low quality, bad anatomy, bad hands, bad body, missing fingers, extra digit, fewer digits, out of frame