Lady Gruesome Female Vampire Costume The Lady Gruesome costume for women includes a dress and headpiece. Our Lady Gruesome comes in adult size Standard. Couples Halloween costumes idea: Match this Gothic Lady Gruesome costume with our Lord gruesome costume for him. Skull and shoes are not included with this women's Gothic ghost costume. Please note: This item's color may vary due to inherent manufacturing variations or your computer monitor's color settings. The item you receive will be identical or substantially similar to the item pictured in this listing.