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/6693862

Positive prompt: (syuro, dagasi, nezumi \(artist\):0.8), (zaush, chunie, sigma x, darkgem), (personalami, trigaroo, narse, tojo the thief), lizard, large cloaca, genital slit, feral, thick legs, wide hips, big butt, (open eyes, good eyes), tail, thin tail, outside, cave, grass, sunlight, walking, adventurer, muscular, all fours, thin waist, first person view, imminent face sitting, tall, internal view, rear view, (head underneath, upside down head, detailed scales, red scales, small scales, smile), <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 arms, extra limbs, group, crowd, blue body, distortion, monster, alien, vagina, extra heads

Steps: 110,
Sampler: DPM++ 2M Karras,
CFG scale: 15,
Seed: 1482809588,
Size: 1920x1280,
Model hash: 6d71f31f61,
Model: yiffymix_v36,
Denoising strength: 0.48,
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