D) All of the above.
Hawthorneâs use of foreshadowing in the story includes the repeated references to the birthmark as a "fatal flaw," Aylmer's dream about removing it, and the imagery of the flower withering after being touched by the potion. Each of these elements builds tension and anticipation for the tragic ending, emphasizing the destructive consequences of obsession, the inherent risks in Aylmer's scientific pursuits, and the inevitable tragedy that befalls Georgiana.