4sylum w4rd, photorealistic, the same empty 1960s-1970s psychiatrist office at night, three-quarter diagonal view, worn brown leather couch at rear, steel desk off-center, green banker lamp, filing cabinets, blurred diploma, heavy curtains over wire-mesh window, faded green walls, dirty off-white tile, cold caged fluorescent and amber night lights, stainless details, liminal abandoned atmosphere, cinematic high detail, exact center and central floor broad and empty, no humans, no silhouettes, no bodies, no gore, no blood, no readable text, no logos, no watermark

worst quality, low quality, text, deformed, bad anatomy, bad hand, blurry, (watermark), artist signature, artist name