There are two young men standing in a hospital room talking to each other

el joven habla grita esta disgustado

ugly, nail polish, (mutation:1.3), (deformed:1.3), (blurry), (bad anatomy:1.1), (bad proportions:1.2), out of frame, ugly, (long neck:1.2), (worst quality:1.4), (low quality:1.4), (monochrome:1.1), text, signature, watermark, bad anatomy, disfigured, jpeg artifacts, concept art