score_9, score_8_up, score_7_up, rating_explicit, cinematic lighting, volumetric lighting, (detailed background:1.2), dramatic lighting, dramatic shadows, dust, foreshortening, (close up:1.2), sns_saiko-chan, 1girl, red eyes, red hair, short hair with long locks, messy hair, ahoge, huge breasts, yandere, blood, blood on face, blood on clothes, perfect hands, hands on face, looking at viewer, sanpaku, half closed eyes, (wide grin:1.25), sharp teeth, nurse cap, sexy nurse, hospital, dark, horror (theme), fog, depth of field, <lora:ponyxl\KMS_SNS_Saiko:0.7>

score_6, score_5, score_4, worst quality, text, logo, watermark,