 illustration, 3d, sepia, painting, cartoons, sketch,
(worst quality:2), (low quality:2), (normal quality:2), lowres, bad anatomy,
bad hands, normal quality, ( (monochrome) ), ( (grayscale:1.2) ), amateurish, scruffy,
[disheveled appearance], messy hair, [unprofessional setting], [unreliable], [lack of expertise], [outdated medical equipment], [chaotic environment]