Goth nurse holding a sinister patient puppet in neon ER

Hyper-realistic color photograph, ultra-low-key lighting, cold neon noir aesthetic, midnight emergency room, flickering blue and red neon signs reflecting on wet linoleum floors. A young goth woman with pale white skin, sharp cheekbones, and intense eyes stands in a close-up shot, wearing a short, tight nurse uniform with intricate details — silver buckles, black lace trim, a dark nurse cap, and a utility belt with medical tools. Her make-up is dark and dramatic — deep blue eyeshadow, black lips, a hint of shimmer, giving her a cold, commanding presence. Her expression is sinister yet melancholic, a faint cruel smile curving her lips. She holds a small, detailed action figure puppet of a patient, which eerily resembles her — a miniature doppelgänger in a tiny hospital gown. Her posture is elegant, authoritative, radiating a horrible charm. The background is a chaotic, dimly lit ER room with glowing neon signs, medical equipment, shadowy figures, and stark contrast between the cold blue neon and the warm red glow of emergency lights. Deep shadows emphasize the details of her uniform, her face, and the puppet. Complex lighting, strong contrast, cold and unsettling atmosphere. Highly detailed skin — visible pores, tiny imperfections, dry patches, and the texture of cold, pale skin. Shot on medium format film, 85mm lens, shallow depth of field, sharp focus on her face and the puppet, background slightly blurred. Film grain, no retouching, raw, documentary style. Inspired by the works of Yang-Sung-Kim (dark fantasy, dramatic composition) and Ruben Belloso Adorna (hyper-realism, extreme skin detail, masterful light and shadow). 8K, cold creepy vibe, cinematic.

(nsfw:0.7), (worst quality:1.5), (low quality:1.5), (normal quality:1.5), lowres,watermark, bad anatomy, bad hands, text, error, missing fingers, extra digit, fewer digits, cropped, jpeg artifacts, signature, username, blurry, artist name