Generated the original image in Civitai, then used R-ESRGAN 4x+ Anime6B in Automatic1111 for upscaling and inpainting.
Original image before modification: https://civitai.com/images/6693863

Positive prompt: (syuro, dagasi, nezumi \(artist\):0.8), (zaush, chunie, sigma x, darkgem), (personalami, trigaroo, narse, tojo the thief), lizard, cloaca, genital slit, feral, thick legs, fat ass, wet hole, eyes open, tail, thin tail, outside, cave, grass, sunlight, human watching, steam cloud, walking, big anus, adventurer, muscular, all fours, ((soft shading, pink genitals, pink anus)) <lora:epi_noiseoffset2:1.2> <lora:epiCRealismHelper:1> <lora:Furtastic_Detailer:1> <lora:hyperfusion_550k_128dim-LoCon_extracted-v7:.5> <lora:more_details:1>

Negative prompt: hyper penis, huge penis, bad anatomy, multiple penises, multiple balls, balls without penis, (merging:1.2), merged bodies, merging bodies, boring_e621_v4, EasyNegative, Bad Hands 5, bwu, dfc, ubbp, updn, artist signature, signature, text, black and white, sepia, sketch, depth of field, poorly drawn face, ugly, low quality, extra legs, extra limbs, group, crowd, blue body, distortion,

Steps: 120,
Sampler: DPM++ 2M Karras,
CFG scale: 13, Seed: 2969387186,
Size: 1280x1920,
Model hash: 6d71f31f61,
Model: yiffymix_v36,
Denoising strength: 0.55,
SD upscale overlap: 112,
SD upscale upscaler: R-ESRGAN 4x+ Anime6B,
Lora hashes: "epi_noiseoffset2: 3775aad8a02d, epiCRealismHelper: c5e24d9bc4b5, Furtastic_Detailer: 2e94914f676c, hyperfusion_550k_128dim-LoCon_extracted-v7: 66d481cf230a, more_details: 3b8aa1d351ef",
Version: v1.7.0