masterpiece, best quality, ultra high res, ultra-detailed, inside an hospital, sunset, madoka, pink hair, twintail hairstyle, (gigantic tits and giant cleavage: 1.4), hairy pubic hair, (erotic pink nurse uniform with nurse cap and pink lace-trimmed tights: 1.2), black high boots, looking at the viewer with a seductive expression, pleasure face, erotic face, moaning, beautiful makeup with black eyeliner and red lipstick, steaming body, shiny skin, very wet, (madoka is sitting on an office chair with her legs spread wide and squirting lots of cum from her exposed pussy in a hospital while erotically moaning with open mouth from orgasm and with a very horny and erotic face: 1.6), (bottom close pussy photo: 1.5)

verybadimagenegative_v1.3, ng_deepnegative_v1_75t, (ugly face:0.8),cross-eyed,sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, bad anatomy, DeepNegative, facing away, tilted head, {Multiple people}, lowres, bad anatomy, bad hands, text, error, missing fingers, extra digit, fewer digits, cropped, worstquality, low quality, normal quality, jpegartifacts, signature, watermark, username, blurry, bad feet, cropped, poorly drawn hands, poorly drawn face, mutation, deformed, worst quality, low quality, normal quality, jpeg artifacts, signature, watermark, extra fingers, fewer digits, extra limbs, extra arms,extra legs, malformed limbs, fused fingers, too many fingers, long neck, cross-eyed,mutated hands, polar lowres, bad body, bad proportions, gross proportions, text, error, missing fingers, missing arms, missing legs, extra digit, extra arms, extra leg, extra foot, ((repeating hair))