For sure! Often I’ll come in with a visual idea already, or will iterate on some with the AI giving inspiration. If I have the idea strongly I’ll sketch out the composition and elements I know I want - sometimes on real tricky poses like fingers I’ll take a photo of myself doing them. Throw that into stable diffusion with img-2-img to generate images based on my sketch/photograph to something more full featured or something I hadn’t thought of but really like (you can also set how “dreamy” the AI should be, how much it should vary from the input material).
There’s a lot of detail I could get into but the “assistance” is fleshing out a composition -> I go in and correct anatomical mistakes or elements I want to change specifically -> run it through again if it needs it.
It does say have to so I think you still can, but you don't need to sleep to have energy for your day. It's a magic pill with magic rules