Here is a paintover with some suggestions:

-The dither bg doesn't do much for you. Made it all black for cooler contrast.
-Composition: Your version had elizabeth super small and in the top right corner. Moved her and made her bigger so you have more res to render and so the portraits roughly create a triangle. The monster is at the top of the triangle suggesting power.
-The title itself is really sinking into the bg. Make it pop out! Changed the color for readability but you can probably stylize the text more. Don't be afraid to cheat and use a real font. Typeface can really convey emotion if you know which ones to use.
-I flipped victor because I thought it would be more interesting if he's side eying his own creation instead of looking offscreen.
-Anchored the composition with a circle just to make it more obvious who the real focal point was
- Messed around with rendering on all 3 figures mainly combining clusters to go for more implied "brushstrokes" as some the clusters got redundant and hurt readability a bit.
-The bit of orange is just showing the light source and how it might still work even with the flipped victor.
Overall I think you did a good job conveying the emotions in each face, and the colors are great. Clusters are for the most part good. I would also encourage, but this is up to you, an alternative design to the monster rather than relying on the iconography of the Boris Karloff film. Maybe take a description from the book and use that with other non-related ref to come up with a design we haven't all seen before. Keep going.