ambiguous_gender asylum ball_gag bananastrike_xl_v10_(model) belly bench blush blushing_at_viewer bodily_fluids bridle brown_hair brown_mane brown_tail chest_tuft clothed clothing collar collar_only dark_hooves diaper diaper_only feral fur gag genital_fluids hair harness harness_ball_gag harness_gag hooves horn inner_ear_fluff inside leaking leaking_diaper leash looking_at_viewer looking_back looking_back_at_viewer mane medical_play mlp mostly_nude muzzle_(object) nude orange_body orange_fur padded_room prompt quadruped solo solo_focus spread_legs spreading submissive submissive_feral sweat sweaty_body tuft unicorn_horn urine urine_on_ground using_diaper wearing_diaper wet wet_body wet_diaper wetting white_belly mechanic_31 my_little_pony equid equine horse mammal pony unicorn colored detailed hi_res prompt_metainfo
It seems that this patient has been ignored for too long, and now the pony urgently needs a diaper change. 
(By the way, a worried and somewhat sweaty appearance may be caused by an anal plug with a vibrator that turns off when orgasm approaches - the pony may have been on the edge for an hour or several.)
(And now she looks at the viewer with hope that all this will end very soon). 

[b]Prompt:[/b] feral pony, unicorn, indoor, human and feral, collar, bridle, padded chamber, padded room, hospital, pony wearing diaper, asylum, pacifier gag, pacifier, booties, by swaybat, mask, orange fur, orange body, dark brown hair, dark brown mane, dark brown tail, white legs, puffy diaper, (wet diaper), peeing in diaper, using diaper, used diaper, standing, full diaper, yellow diaper
[b]Negative:[/b] boring_e621_fluffyrock_v4, deformityv6, easynegative, bad-hands-5, bad anatomy, low quality, signature, logo, watermark, short legs, ugly, deformed, empty eyes, narrow eyes, blind, blindness, foot, paws, baby, foal
[b]Size:[/b] 1536x1280 (upscaled from 768x640 Sampler: Euler A (20 steps) CFG Scale: 2.50 Model: bananastrikeXL_v10
Seed: -362597171

The service I use has changed the working principle somewhat, now I don't have a separate seed for upscale, possible seed from the original image may be used.