She has this phobia.
She hates clowns as much as my dirty underwear.

So it is not a coincidence that the clown is stading on a squashed head; his expression clearly depicts the pain.
And she has kindly put a star beside it, for emphasis.

Once again, the clown has the on-going theme of dark circles.
She is the sad clown, maybe she is sad to see the giant leaf fall.

The pure mystery is in that line drawing of a girl's profile. She is staring at the dangerous distance between the clown and the head, yet, she has no EYE!