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Can I check that the cheat mode is on when the nurse on the title giggles?

If so, I need help to get a) "Full frontal nudity" (only topless so far) and b) secret levels for custom nurses.

Also, where is that last image in-game

Open all buttons of the right Nurse's shirt. Then hide the menu (the clipboard has to go offscreen). In the board behind the desk you will find a folder that has written "cheats" on it. Click it and enable the cheats in the next screen.