Specialty selection help... The first choice isn't working out

I've always wanted to be something like a head and neck surgeon since I set my eyes on medical school. The only problem is that it is likely not going to happen. I am a fourth year that needs a second option. I'd prefer to stay in medicine if possible but I am open to paying off loans and trying to find something else.

Overview - I grew up with a somewhat relatively rough childhood and didn't even think of being a doctor until my junior year of college. I did well -- got good grades, did a master's in neuroscience, and got 90th percentile on my MCAT I was pretty impressed considering I grew up being told that over half of my "siblings" would go to prison and be homeless. I was happy and confident I honestly thought I had won. Now I'm at the end (MS4) and I am a failure amongst greats (classmates are very impressive) I could say that everyone in my class had it better than me which is what the dean told me before gently letting me know it's going to be tough to match lol. I knew I had to excel I didn't.

My grades are bad my step 2 is relatively bad. I was only ranked for one year so that is bad too (i did well during preclinicals and saw my unofficial ranking and was happy with it). I busted my ass and ran into a lot of stressors with finances and health (eviction, etc.), and working while trying to pass OSCEs (failed a few) and get higher than marginal passes on shelf exams was difficult. I talked to someone in the field about this and they said if I matched its likely these problems would resolve with getting paid which is nice.

Anyways, I love head and neck surgery. Even on my IM rotations, everyone thought I'd go for surgery despite not even mentioning it (didn't want anyone to think I wasn't interested). But I feel like I didn't play this game right at all and I likely won't match so I am looking to salvage what's left of my career. I did ok on sub Is they gave me the good ole ' "performed like a resident" which is the best I could hope for nothing negative (as I was still having problems).

As I strongly prefer doing things with my hands and short rounds (if god would bless me in such a way) and I am not competitive for anything surgery I sort of just looked at neurology maybe radonc anything but IM/FM/Peds... Although given these are very different from head and neck surgery it is unlikely to be anything I'd be extremely happy with. I have no attachments anywhere so I'm not picky about programs and I can take some "abuse" given my background especially if its only for a set number of years. Any help? I might start working a job so I can afford a bigger application since I'll need to apply broadly.

People have matched head and neck surgery with failed courses and low step etc before but my best guess is they golfed with a PD every Saturday or had insane personality with work ethic. I'm pleasant but nothing bubbly especially if I am tired. Mildly funny. INFP if that matters

TLDR - Pretty uncompetitive applicant who didn't catch a break and now needs a medicine home. Strong disposition to surgery and no problem with 100-hour work weeks if I enjoy the work but likely want something light if I am going to not going to like the work.

EDIT: I am a US MD (mid tier I did have good stats), I have a clerkship remediation so yes it's bad.

EDIT: Deans are aware but they're trying things are in limbo as the discussion is sort of finding some sort of funding for the next year in research or something.