Anime nurse in a kitchen with a knife and a knife in her hand

(artwork illustration luminosity desinger:1.2), (best artist illustrator painter:1.2), (1girl), solo, laughing manically, wearing nurse's clothes, macabre smile, bloody lips, bloody clothes, horror movie set of a macabre hospital, gothic cinematic lighting of Paramount studios, Wit, giving a claustrophobic air, in a hostile and dark place--Niji:5--dark hostile lighting--Paramount Studios--studio wit--Graphic perfection. --s2

(nsfw:1.5),verybadimagenegative_v1.3, ng_deepnegative_v1_75t, (ugly face:0.8),cross-eyed,sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, bad anatomy, DeepNegative, facing away, tilted head, {Multiple people}, 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, ((repeating hair))