a sad anime styled girl, looking down at a empty hospital bed, deep Imax color, remastered, apply upscaling,  
black and white ,2 heads, 2 faces, cropped image, out of frame, deformed hands, twisted fingers, double image, malformed hands, multiple heads, extra limb, hands, missing limb, disfigured, cut off, grain, low res, deformed, blurry, bad anatomy, disfigured