Reasoning: We haven't seen Alfred in a few issues now, in which time Joker could have been doing who knows what. I think Joker cut off Alfred's face (once he had driven Alfred insane) and had him attach his OWN face on, to make him appear like the Joker. And what's on the tray? Why, Alfred's face of course.
Alfred Is "The Joker", and unfortunately it makes sense
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