8K, RAW portrait (japanese woman),masterpiece、Photoreal、realistic, ultra high resolution, highest quality, real life photos,cinematic lighting,nurse uniform,tits,nude, (open the shirt, flip the skirt ,flip the shirt ,clothes come off), (full body),sexy,girl lying on the bed, SEX pov:1.8, restore face, gyaru make,NSFW,Girl having sex in hospital room,

(((((nsfw:1.5))))),ugly, painting, sketch, (worst quality:2), (low quality:2), (normal quality:2), lowres, bad anatomy, bad hands, fewer digits, extra digit, normal quality, ((monochrome)), ((grayscale)), futanari, full-package_futanari, nipplepierces, collapsed eyeshadow, multiple eyeblows, vaginas in breasts, holes on breasts, age spot,bad anatomy, long_neck, long_body, longbody, deformed mutated disfigured, missing arms, extra_arms, mutated hands, extra_legs, bad hands, poorly_drawn_hands, malformed_hands, missing_limb, floating_limbs, disconnected_limbs, extra_fingers, bad fingers, liquid fingers, poorly drawn fingers, missing fingers, extra digit, fewer digits, ugly face, deformed eyes, partial face, partial head, bad face, inaccurate limb, cropped,out of focus,blurry,bokeh