In our Dead Hand side-story, she was imprisoned and sentenced to be executed for stealing people’s life forces to sustain her own youth and beauty.
She never appears like this in the actual story, but I always wanted to make a rendition of what she might look like in her witch-human form.
I took some references from some enemies in the Zelda series.
Most notably, Veran (shoulder pads). Dead Hand was also supposed to have the sash covering the front of her dress but I decided to remove it last minute.
Her head dress is based off of the head of the Garo Master from Majora’s Mask.
And a more recent design from a non-canonical game, Cia was a big influence in the design as well.