With Dandonfuga Style: https://civitai.com/models/1252977?modelVersionId=1412563

POS:
(head_stabbed:1.2), (impaling_stabbed:1.2), assisted_stabbed, 1girl,solo focus, 1boy,a vertical sword into her head,head on counter, back, tongue out,outstretched arms,man holding sword, blood, clothed female nude male, empty eyes, standing sex, clothes pull, death, sex from behind, blood on weapon, corpse, bleeding, profile, male out of frame, upper body, top-down bottom-up,
BREAK
d4ndon, realistic shading,masterpiece, best quality, amazing quality, depth of field, perspective, matte skin, anime screencap,
BREAK , long wavy hair, loose curls, mature look, voluminous hair, center part, nurse uniform, dress, white apron, stockings

NEG:
extra person,multiple boys, multiple girls,text, bad anatomy,mosaic censoring, censored, embedding:lazyneg, embedding:lazyhand,bad perspective, multiple weapons, multiple spears, multiple knives,multiple daggers, multiple swords, (slit throat:1.2),(throat slit:1.2),multiple spikes, (long neck:1.3), multiple polearms, text, broken blade, stretching neck,