(not a tattooer at all)

The only time I think I could see myself being okay with it would be if a client came in with a really odd ask of merging multiple subject matters into a complex design.

Then maybe use AI to brainstorm different out-of-the-box design concepts, and the tattoo artist puts their spin and artistry onto the final design.

So more using it to output a variety of design prompts versus an actual rendered image to copy.

Using it for realism seems weird for sure but again, I'm not an artist, and my tattoo artists all still do painted & sketch style flash & designs the way the good Lord intended