The pattern alternates between addition and subtraction of consecutive odd numbers (prime sequence): -8 + 2 = -6, -6 - 3 = -9, -9 + 5 = -4, -4 - 7 = -11. The operations are +2, -3, +5, -7. Following this pattern with +11 (next odd number): -11 + 11 = 0. Since 0 is not among options A-D, option E is correct.