According to Gaiman, the initial visual design of Death was based on a friend of Dringenberg's named Cinamon Hadley. From The Sandman Companion:
Cinamon "Sin" Hadley, the inspiration for "Death"
Death is the only major character whose visuals didn't spring from me; that credit goes to Mike Dringenberg. In my original Sandman outline, I suggested Death look like rock star Nico in 1968, with the perfect cheekbones and perfect face she has on the cover of her Chelsea Girl album. But Mike Dringenberg had his own ideas, so he sent me a drawing based on a woman he knew named Cinamon Hadley — the drawing that was later printed in Sandman 11 — and I looked at it and had the immediate reaction of, "Wow. That's really cool". Later that day, Dave McKean and I went to dinner in Chelsea at the My Old Dutch Pancake House and the waitress who served us was a kind of vision. She was American, had long black hair, was dressed entirely in black — black jeans, T-shirt, etc. — and wore a big silver ankh on a silver necklace. And she looked exactly like Mike Dringenberg's drawing of Death.
닐 게이게이먼이 처음 제시한 죽음의 디자인 ' 락스타 Nico와 닮게 해달라 '
닐 게이게이게이먼의 친구가 디자인한 죽음 : Cinamon Hadley 라는 디자이너 보고 그림
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