Nurses - Silent Hill (horror)

to keep close to her old design try any of these - or put in Neg to reduce chance - SFW/NSFW

may need to add 3d, or realistic, in neg for certain 2d/anime styles due to having more 3d image training - or lower weight for less influence -
PonyXL version may need a XL VAE as a 1.5 VAE may cause issues - Images must be - at or past 1024x1024 or 832x1024 - Sampling steps past 30 - this can work with any model that is PonyXL or was merged/trained from it - realistic, in prompt may help - DOES NOT WORK WITH 1.5 checkpoints - ALT was trained on Pxl itself so is more anime/2d leaning compared to my other Pxl loras - TW is nursexl,

face/body

nurseSH, - face covered, or faceless female, - bald,

could add horror \(theme\), to prompt if not using a horror style to help enhance or monster-girl, or no_humans,
face may have eyes, or teeth, randomly - adding it in neg may help as well as any face detail prompts that arent horror related
without face covered, - you may get the above point
can also add mouth mask, - face covered, may add one fused to face

Outfit

nurse cap, nurse, - or hat