fancy ladder

(pastel colors:1.4), bedroom, indoor, BREAK multiple girls, animal ears, 2girls, breasts, cat ears, pink hair, tail, thighhighs, nurse cap, cat tail, long hair, dress, purple eyes, cleavage, nurse, purple hair, hat, cat girl, apron, pink dress, blue dress, twintails, sitting, garter straps, animal ear fluff, looking at viewer, blush, holding, wrist cuffs, clothing cutout, ribbon, hair ornament, cleavage cutout, medium breasts, short sleeves, bangs, tail ornament, heart, frills, virtual youtuber, hair between eyes, pink eyes, large breasts, syringe, two side up, very long hair, puffy short sleeves, tail ribbon, thighs, white apron, card, heart cutout, shoes, bow, pastel colors, pink ribbon, puffy sleeves, holding syringe, short dress, hair ribbon, stethoscope, :o, blue footwear, bandaid, pink bow, high heels, hairclip, yokozuwari, frilled apron, waist apron, detached sleeves, bell, hand up, pink footwear, parted lips, hair bow, closed mouth, white thighhighs, maid, signature, heart print, open mouth, zettai ryouiki, frilled dress, pink headwear, bare shoulders, cross, holding card, heart hair ornament, small breasts, tail bow, artist name, smile, blue headwear, pill, maid apron, kisaragi (azur lane), light purple hair, pink skirt, tail raised, mary janes, detached collar, sidelocks, purple dress, x hair ornament, jingle bell, skirt, wariza, intravenous drip, underwear, panties, playing card, maid headdress, simple background, hair intakes, full body, white background, pink theme, frilled cuffs, pleated dress, red cross, purple ribbon, collared dress, garter belt, crossed bangs, striped, blue ribbon, skindentation, neck ribbon, collar, feet out of frame, purple footwear, arm support, tail bell, red ribbon, socks, white footwear, expressionless, star (symbol), name tag, nail polish, twitter username, symbol-shaped pupils, thigh strap, sandals, candy, covering mouth, fish hair ornament, covered mouth, legs, thermometer, ahoge, heart-shaped pupils, heart o-ring, pink nails, short hair, bandages, blue skirt, long sleeves, hair flower, alternate costume, bandaid on leg, platform footwear, bandaid on arm, blood bag, first aid kit, off shoulder, braid, seiza, blue shirt, 1girl, key, character name, dot mouth, thick thighs, legwear garter, kneeling, armband, borrowed character, pink shirt, shoulder cutout, flower, blood, o-ring, arm cuffs, white panties, id card, purple bow, pink apron, frilled sleeves, food, cuffs, blue eyes, blue bow, off-shoulder dress, miniskirt, buttons, choker, lollipop, shirt, shiny, over-kneehighs