This one shoulder dress is composed entirely of mangled flesh, with teeth at the front and trim of the skirt. She does not have any footwear, instead her legs and feet are seeped in blood. Her Omega pendant is replaced by a piece of meat, twisted into the shape of the symbol. Just above Alice's right breast, there is a large moving eye with the pupil and iris in the shape of a heart.
Hollow Yves is replaced with an eye and two tentacles tied in a bow-shape manner.
While it is apparent that the Fleshmaiden is inspired by Queensland and the Queen of Hearts, it is possible that the dress was first inspired by Mark Ryden's piece, Incarnation. In The Art of Alice: Madness Returns, Mark Ryden was mentioned among the artists that inspired the aesthetic of the Dollhouse domain.
It is possible that the Fleshmaiden dress is not actually a "dress", but a mutant Alice.