(score_9, score_8_up, score_7_up), Expressiveh, medical clinic, background characters with blurred faces, anal sex, anal penetration, close up, BREAK 1girl, tight pussy, 18 years old, long highlights blonde hair, brown eyes, heavy blush, tan skin, light makeup, curvy body, hourglass figure, big breasts, green nurse outfit, nervous, erection, looking up, moaning, on back, medical chair, spread legs, boy holding girls legs BREAK 1boy, standing, face out of frame, sweating, (small pink nipples:1.3), anal, beautiful, cute, realistic, blush, aquascreaming, screaming, open mouth, eyes open, trembling, cum in ass, makeup, dappled light, good lighting, volumetric lighting, well lit room, nipple focus, subsurface scattering, missionary, vaginal, close, up, spreading, legs, exposed, breasts, <lora:MissionaryVaginal-v1-SDXL:.5>