Being a massive fan of the Silent Hill games and having done a Silent Hill Nurse photoshoot myself, I have to say I really enjoy the textures on the model's costume and the door in the back. The door is a perfect background for this photograph, and I can totally see it being in the Silent Hill games. I really like the pose that she's in and the angle of the shot. I also notice you went for a grungy, nightmarish sort of feeling, but allowed the model to appear just a little sexy as well. It's just perfect. Perfect!
However, the mask is bothering me just a little, same with her shoes - I can't really see Silent Hill nurses wearing toeless heels with ankle laces, and the hair sticking out behind the mask is a little distracting as well. But subject matter aside, I think the image could pack more of a punch in terms of contrast, and could be a little more crisp; the pixels seem to be a little distorted, but that might've been a look you were going for, who knows
Overall I think this photo is awesome! You did a really good job keeping it accurate and it was executed very well! I'm looking forward to seeing more.

Good work. First, I don't know a lot about these games, but on a strictly macabre side I think the nurse outfit (good choice not to make it of the usual pvc btw) and strategically placed face bandage are very effective, as well as the prop aged door, wich make a good background for the theme. (you bring this stuff in your kitchen?! wow haha!)
So that creepy look is quite a success, it's dirty, scary and there's a hint of sexyness added to spice up the shot.
As for the post work, I usually prefer the less artificial looking pictures, but I guess the effects added on this might be okay since it is related to a video game, keeping it in the same "pixelated" spirit.
I hope you'll do more of these kind Mark, it sure bring a new dimension to your work. Well done