Her second outfit has her in a gothic lolita dress while the most striking change is to her hair, sporting long pink hair in two side up instead. She can optionally add glasses or revert to her old buns hairstyle (and keep her hair color). In this form, she has been compared to Fate's Gorgon twins, Stheno and Euryale.
She is usually extremely shy and easily emotionally damaged, which makes her especially bad at horror games. She also has developed a trauma upon hearing the word "cutting board" (or anything referring to her complete lack of a chest) due to one of Usada Pekora's pranks.
In recent times, Rushia has been encouraged to let herself go a bit more (compared to a more uptight, script-reliant personality earlier in her tenure), which has led to a fair bit of her screaming, raging, and what is referred to as "lunatic mode" (lit. menhera, meaning "mentally unstable"), a step closer towards yandere that makes Rushia quite scary at times.