The Royal Suit is the fourth dress in Wonderland that Alice wears during the adventures of Alice: Madness Returns. Its in-game effect is that Alice is restricted to only four Roses for health maximum. This makes the game more difficult, as Alice has less health overall, but it also allows her to access Hysteria more easily. If hysteria is the purpose, the Fleshmaiden dress allows for unlimited hysteria activations while not having a limit on max health.
It is based around the Queen of Hearts and is only seen in Queensland. The gloves worn by Alice mimic castle towers and the dress has re-occurring prints of hearts and checker patterns. The bow is similar to her normal costume, however, the skull is replaced by a twisted heart-shaped skull. The pinafore features a spade picture as well as astronomical signs of Venus as well as the astrological sign for Leo (a descending node).
The Royal Suit is the third dress to take on a skull as its bow, following the traditional Hollow Yves look. This time, to fit in with the Queensland setting, the skull has been morphed into what appears to be a grim heart-shape which is colored in dark grey tones. Its eyes are a red color, which tend to look as if they're glowing, similar to the filament ending on the Siren dress. The bow itself is similar to the bow of the classic dress, and is a black color which a matching golden pattern that man's itself around the edges of the bow and the hanging ribbons The pattern is simply of a golden line which is covered by another line of golden hearts.
Diamond Select Toys will release a posable figure of Royal Suit Alice in their Alice: Madness Returns line in 2013. Like the Hysteria Alice figure, it shares a sculpt with the regular Alice, which means some sculptural details do not match exactly, although the paint details are generally accurate. It will be sold individually to comic shops and specialty stores via Diamond Comic Distributors' Previews catalog as a catalog exclusive. It comes with a bloody Vorpal Blade as well as deep red versions of the Pepper Grinder and Hobby Horse.