Pyramid Head is a very symbolic enemy that is seen in Silent Hill 2. He receives this name because almost half of his body is shelled in an enormous, blood-red, triangular mask. He is generally well-known for his appearance, and an enormous, sword-like knife he drags with him. Sometimes he carries a spear.

What makes Pyramid Head symbolic is that he is a major element in Silent Hill's gloomy history. Pyramid Head is considered to be the embodiment of James's suffering (in the Silent Hill 2 storyline), and he is also a servant of Samael (from Silent Hill 1). Pyramid Head was an executioner during the Age of Our Founding Fathers in this ghost town (literally a ghost town), an executioner of the guilty at least.

a.) The embodiment of James' suffering and/or guilt.
b.) The embodiment of James' sexual frustration with his dead wife. This would explain his gestures of dominance over the more feminine creatures of Silent Hill 2 (i.e. 'raping' other monsters)
c.) An executioner of sorts; some believe he is The Red God, Xuchilbara

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