Odd Nerdrum style, oil painting, classical horror realism, plague doctor figure wearing a tattered cloak of human skin, medieval setting, candlelit dungeon filled with flayed corpses, melancholic yet horrific atmosphere, muted earthy tones with splashes of deep arterial red, a wooden table covered in surgical tools rusted with dried blood, twisted figures in agony reaching from the darkness, haunting chiaroscuro lighting, surreal yet hyperrealistic rendering of agony and despair, faceless figures watching from the shadows, a looming figure sharpening a rusted blade, the scent of decay soaking the walls