Yanderenaas　syringe　 dark　Scary　nurse cap　nurse uniform　operating room　目がScary　(太いsyringe)　Blood all around 　It is said

,bad quality, poor quality, lowres, extra fingers, missing fingers, poorly rendered hands, mutation, ((children)), ((kids)), ((loli)), deformed iris, deformed pupils, asymmetric, watermark, blurry, photocopy,monochrome, 3d, 2d, painting, cartoons, sketch, (worst quality:2), (low quality:2), (normal quality:2), lowres, bad anatomy, bad hands, ((monochrome)), ((grayscale)), collapsed eyeshadow, multiple eyeblows, (cropped), oversaturated, extra limb, missing limbs, deformed hands, long neck, long body, imperfect, (bad hands), signature, watermark, username, artist name, conjoined fingers, deformed fingers, ugly eyes, imperfect eyes, skewed eyes, unnatural face, unnatural body, error, bad image, bad photo, (tattoo), huge breasts, large breasts, ((sphere, orb, ball)), paintings