Sure, I'd say that's a real photo - you could easily pull it off with a single exposure of film.
Just because the photo is real, doesn't mean it's free from deception. I could take a "real video" of gorilla suit^W^W bigfoot and it'd still be deceptive.
What if I use no digital manipulation at all, but play around with focal lengths or perspective to produce the desired effect. Is that a real photo?
For example from covid reporting: https://twitter.com/baekdal/status/1254460167812415489