I've been working on this image for a couple days, and would like some constructive criticism. It is a scene out of a roleplaying game I play in. I'm particularly interested in feedback on the arrangement, camera angle, lighting, etc. As a scene out of the game I can't really add elements to it, just make the most of what was there.

Perhaps you can tone down any ambient lighting to make the shadows more prominent and let the light sources from the hands do all the work so that it looks more creepy. Otherwise, nice work!

To the contrary! I think the shadows should be more soft-edged, less sharp, especially close to the light source, then getting progressively fuzzier the further out they are. Ambient lighting. Tough nut, there. Keep working it. Camera: in general, the lower the camera angle, the more dramatic the shot. Average horizon line is nipple-high. Arrangement/Composition: If the objects are immoveable, minor changes in camera placement/angle can make a big difference. Lighting is esp. key. In short, save a good base position, then do alot of experimentation. Really good lighting is my personal demon. Let us see the finished image!