First impression: Definitely a memorable photo, it's very compelling and hard to look at, and away from.
Artistic: The suggestion of blood streaking the face and hand is very powerful. The eye at the right is right at the border which adds to the sense of discomfort, almost to the point of claustrophobia. The catchlight is all there is to tell us that the person is alive.
Technical: The tight crop and darkness of the image probably turned off voters, as this deserved a better score imho. The image also looks smaller than the allowed 800 on the longest side. The slight tilt of the head as evinced in the eyes add to the odd surreal feel that you caught very well. The pp you used is very simple but effective, which I always favour over a photo drowning in obvious pp.
Overall: Sadly the voters tend to favour images that go the opposite direction, but you probably know that already and entered it because you liked it. Good for you!
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