Senua wears a leather headpiece decorated with a large silver ornament set with blue stones at the front and stitched with triskelions (triple spirals) at the sides. According to many Roman generals and Historians throughout their conquest of the British Isles, tribes like Picts and Iceni would cover themselves in blue paint to blend in the fog before the sun rose. This type of paint and style has existed among the Pict tribes for centuries the word 'Pict' comes from Eumenius in 297 AD, meaning 'the painted people'. In the time frame that the original game takes place, Senua wears distinctive woad blue face paint heavily around her eyes, her left arm, across her collar bones and her bottom lip. Senua and her people (the ones who lived in her village before abandoning it to the Northmen) were part of a people known as the Picts.

Her hair is tied in a high ponytail and clumped together in plaits and locs coated in lime and adorned with beads. While Senua is slender, she is muscular and has light scars throughout her skin, some more notable on her face. Senua is a young woman with fair skin, pale blue eyes and long dark brown hair.

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