A spectral surprise! It looks like she wants help with something around her neck...?
If you would like to see some "spooky" alternates of this, they'll appear in a few days, but you can catch them early if you peepa this link:
Item Sources:
Boosette / Booette by Kabal_Mystic and Tahlian
Spiky Bindings by Akkoarcade
Saliva by Melkshape
Game Boy Color by Spicy_Apples
Flashlight by MaxOfS2D
Boos by Brewster
Plumber Paws by Pretzel
Manor (Dark) by Chris!!