Looks like something from "The Thing". I don't suppose you've seen that film? lol

Very neat! I love the style!!

I'd imagine that your intention is that the monster is the firs thing the viewer looks at - that's certainly how it happened for me. My eyes immediately followed that enormous arm stretching down. It's so long and spindly, it's really creepy. My brain registered something completely unnatural about the hand but I was a bit too freaked out too look closely. Looking back, I'm fairly sure it's the excess of fingers that caused that reaction.

Then you've got the red smearing, which I instantly associated with blood. This piled on the menacing feel - where did that blood come from? Whose is it? The next thing I noticed were the words. Grattack commented that perhaps the words should blend into the background... I'd say it depends what you personally want them to do. The way they stick out really draws attention to them so if you feel they're a crucial part of the theme (which I'd expect they are), they work great as they are. Part of me thinks maybe they need to be made to stand out even more, but there's also something in the way they slightly fade behind that red smear. It puts extra emphasis on the red, I think.

Then my attention was drawn to the eyes. I've got to agree with Captainblackwing that the eyes peering out from the darkness add something kind of haunting to the whole piece. By glowing, it gives an impression that they see everything. This is the point where I finally noticed the bird-like creature and think I got what was happening. There's definitely this feeling that the monster is willing the bird to fall and that it's succeeding. At this point, the red fuzz around the bird seemed to take on a different meaning, like perhaps being a visual representation of the monster's power? That by being covered in red, the bird is under its control? I wasn't quite sure with that, though. Perhaps it is still blood and the bird has just been injured but... that doesn't really fit with the rest of what you've drawn, IMO.

Finally you've got the town and people. I love that you've left this minimalist - we don't need to see their faces. My imagination paints terror on their face just fine.

It was only on the second or third viewing that I noticed what may be the monster's other arm up to the right of its head (from the viewer's perspective). Looking closely, it looks like maybe he's holding it up to his temple, as if focusing his willpower on the bird? But this is not at all clear. For all I know it could only have one arm. That's one of my main criticisms, generally speaking this is a great piece and does just what you were going for.

Also if the whole thing is centred around the monster willing the bird to fall, the bird should be bigger IMO, more attention-grabbing. A slight change on viewing angle or viewer position could have achieved that I think.

Overall great stuff though.

Great image, the colours really make this a moody and atmospheric piece. My only suggestion would be to blend the text in to the background as it feels a little harsh at the moment. Other than that this super work.