Is she dead? Also, the proportions of some of the fruit is unsettling.

No the artist just lay down with fruit, took a photo and painted results. There’s another version with her sister.

No, not literally. The color balance of the skin tones does not imply life. Also, there is absolutely no fucking way they “just la[id] down with fruit, took a photo and painted results”. Ain’t no citrus on that scale my friend.