Best Quality, (Beautiful nurse:1.2), (Ward in the background:1.3), incredible detailing, Highly detailed, Composition, Ultra-detailed, (Photorealistic), light leaks, Trending on ArtStation, Sharp Focus, absurderes, depth of fields

(bad-image-v2-39000, bad_prompt_version2, bad-hands-5, EasyNegative, NG_DeepNegative_V1_4T, bad-artist-anime:0.7), (worst quality, low quality:1.2), (deformed, distorted, disfigured:1.3), stacked torsos, totem pole, poorly drawn, bad anatomy, wrong anatomy, extra limb, missing limb, floating limbs, (mutated hands and fingers:1.4), disconnected limbs, mutation, mutated, ugly, disgusting, blurry, amputation, Nrealfixer, nfixer, nartfixer