'realistically-changed' originates from the combination of 'realistically' and 'changed'. 'Realistically' comes from 'realistic', which is derived from 'real', originating from Latin 'realis', meaning 'actual'. 'Changed' is the past participle of 'change', from Old French 'changier', from Latin 'cambiare', meaning 'to exchange'.

'Realistically' evolved from 'realistic', which was influenced by the French 'réaliste'. 'Changed' evolved from the Old French 'changier', which was adopted into Middle English as 'chaungen'.

Initially, 'realistically' meant 'in a manner that is true to life', and 'changed' meant 'to make different'. Together, they convey the idea of altering something in a practical way.