best quality, beautiful, bloom, best shadow, best lighting, under lighting, japanese girl squatting, spread legs, (very cute tall tall round face, fat body, big breasts, thin waist, big ass:1.3), (hospital bed in a dark atmosphere, rolling-eyes, drooling), (tubes inserted into her mouth, pussy, anus and head:1.3), (lumpy dildo in pussy:1.2), (frontal body, full body, from a distance:1.3), ahg, rolling eyes, face, cross-eyed, open mouth, tongue out, <lora:StL_Ahegao:.5>, BREAK, (her uterus is detached on the bed:1.5), NSFW, (Huge ring nipple piercing, clitoris piercing, extremely huge jewelry anal plug inserted anus, extremely gaping anus:1.4), <lora:more_details:.7>