hospital king, cookie (touhou), touhou, bar censor, blue background, censored, commentary, white background, 1boy, arm grab, ascot, blunt bangs, bottomless, bow, breasts, brown hair, closed eyes, cowboy shot, detached sleeves, female, hair tubes, hairbow, hakurei reimu, halo, large breasts, leaning forward, long hair, medium bangs, open mouth, penis, pussy, red bow, red shirt, sex, sex from behind, shirt, sidelocks, sleeveless, sleeveless shirt, solo focus, standing, standing sex, two-tone background, vaginal penetration, white sleeves, yamasaka aimi, yellow ascot,

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