She.

She runs the razor with a close precision down the side of his vein.
He starts to notice the blood dripping down.
Cocking his head to move away, the blade goes deeper than intended.
She watches him writhe on the ground while a pool forms.
Face down in his own fluid; she walks away satisfied.
♠ ♠ ♠
Listened to "The Ballad of Mona Lisa" while writing.