It’s definitely not entirely AI, those life sized decorations exist and are sold at hardware stores. It’s just definitely had some filter applied that has done some wonky stuff.

Those letters are a little melty

It shows a coin, so I would assume 50/50

Well Rogue did come out 45 years ago. 35 years ago was around the end of the NES/start of SNES generation.

Only one P in HIPAA actually. Common mistake. https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html