bigboss021, transcend (umamusume), umamusume, absurdres, commentary request, highres, 1girl, alternate costume, animal ears, ass, black butterfly, blunt bangs, bob cut, bow, breasts, brown hair, bug, butterfly, cowboy shot, cross, dress, from behind, garter straps, glasses, grin, half-closed eyes, hat, holding, holding leash, holding scalpel, horse ears, horse girl, horse tail, hospital, indoors, insect, large breasts, leash, looking at viewer, looking back, nurse, nurse cap, purple dress, purple hat, red-framed eyewear, red bow, red cross, red eyes, scalpel, short dress, short hair, smile, solo, tail, tail bow, tail ornament, underbutt, yandere