Titania's efforts at working the Dream around her are rebuffed, possibly from remnants of the shaky intensity. At least no-one was present to see the misstep.
failure
The man has his hands on the tongue-serpent, tugging frantically, but his efforts are in vain. Whether or not this is a part of the dream's message is impossible to say.
The succubus, of sorts, continues a cackling laugh, the scales now covering her spine and a thick, powerful tail grown from the base of her spine. She - It - seems content with cackling and mocking the man in his helplessness, though the sharp talons are clear she could do anything else.