Grotesque
Well she looks quite grotesque, might make a good creepypasta story or screamer I would think. She just looks miserable and as if she wants to spread the "love" around to anyone unfortunate enough to ever see her or twisted body too. Really like the minimal use of colors here too being simply red and black and blood stained white.
The background is simply red with a bloody X in the back with a light sticking through it I think. Looks like someone tried to get away or hurt her but were unable to do so and failed what they were meant to do here as well.
She looks like a misunderstood person as well and going both ways. She could either be a col blooded killing thing or something simply wishing for a friend in the world yet gets attacked by all thinking she is a killer instead sadly.
The details of her face are grotesque as if someone had torn her lips off at some point and sharpened all of her teeth too. The black dress makes you think she just enjoys night time and such.
Overall, very well done nightmare like image, pretty yet scary.