Amazing, grisly, and open-ended adventure design! All my critiques have already been noted by you and others, so I'll just lavish praise upon a few more parts:
The NPCs are overflowing with personality, and all feel like they belong to this place and no other.
The horrible circumstances still allow for investigation, roleplay, and some potentially heatwarming outcomes.
The title itself feels like something the Grimspoon kids would sing like a nursery rhyme.
Having a wilderness hexcrawl, a small town, a tower AND dungeon, and unique NPCs and monsters all in one zine-sized package is impressive, and I never felt overwhelmed by it. Well tuned!