Well first of all, she was kind of supposed to look awful and sick because the character had just been through a traumatic abuse event in her life, and a subsequent mental breakdown. She wasn't supposed to look healthy, happy or "hot."
Having said that, however, I did think that something about Brittany in this did in fact look unwell in more ways than just character design for the role. She died within a year or so of the making of this film, and since information is coming to light that toxicities were in her body -- hair samples have shown high levels of toxins -- she would have been sickening from this for quite some time before other factors contributed to her death. She would have in fact been ill in real life during the making of this movie, whether she knew it completely or not.
I still think she was a beautiful young woman even in this film; she looked not quite well but was still beautiful, for what it's worth. Her acting performance was also top-notch in this. She was a talented person.
It's very sad what happened to this young woman and her spouse.
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