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Ophelia was modelled by artist and muse Elizabeth Siddal, then 19 years old. Millais had Siddal lie fully clothed in a full bathtub in his studio at 7 Gower Street in London. As it was now winter, he placed oil lamps under the tub to warm the water, but was so intent on his work that he allowed them to go out. As a result, Siddal caught a severe cold, and her father later sent Millais a letter demanding £50 for medical expenses. According to Millais’ son, he eventually accepted a lower sum.
The flowers shown floating on the river were chosen to correspond with Shakespeare’s description of Ophelia’s garland. They also reflect the Victorian interest in the “language of flowers“, according to which each flower carries a symbolic meaning. The prominent red poppy—not mentioned by Shakespeare’s description of the scene—represents sleep and death.