1girl, adapted costume, ascot, blush, bow, brown eyes, brown hair, closed mouth, detached sleeves, gohei, hair bow, hair tubes, hakurei reimu, halloween, halloween costume, highres, holding, long hair, nontraditional miko, one eye closed, red bow, red skirt, ribbon-trimmed sleeves, ribbon trim, sidelocks, skirt, smile, solo, touhou, white sleeves, wide sleeves, yellow ascot
1girl, blonde hair, blue eyes, bob cut, bow, brown bow, brown coat, brown thighhighs, coat, cowboy shot, finger to mouth, fingernails, hair ornament, hands up, high-waist skirt, highres, holding, holding syringe, hololive, hololive english, medium hair, monocle hair ornament, necktie, plaid, plaid headwear, plaid skirt, pocket watch, red necktie, sakuremi, short necktie, signature, simple background, skirt, smile, solo, stethoscope, syringe, thigh strap, thighhighs, virtual youtuber, watch, watson amelia, white background
1girl, blonde hair, blue eyes, bob cut, bow, brown bow, brown coat, brown thighhighs, coat, cowboy shot, finger to mouth, fingernails, hair ornament, hands up, high-waist skirt, highres, holding, holding syringe, hololive, hololive english, medium hair, monocle hair ornament, necktie, plaid, plaid headwear, plaid skirt, pocket watch, red necktie, sakuremi, short necktie, signature, simple background, skirt, smile, solo, stethoscope, syringe, thigh strap, thighhighs, virtual youtuber, watch, watson amelia, white background