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1.
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.

Silent Hill is what you make of it. If you are guilty, Pyramid Head will come for you. Maybe even if you are innocent, you must avoid him at all costs....after all, he is one spooky bastard! @.@
"Good job you fuckwad. He was busy raping some demon and you just had to interupt him. He's gonna stalk you forever now as punishment."
-me
av Dave 28 september 2004
 
2.
Pyramid Head (from SH2) is or can be several things:

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.

-A common theory is that Pyramid Head is Jimmy Stone. Jimmy was the leader of the Valtiel sect of The Order; often he is seen wearing a red, triangular hood during ceremonies. He was called "The Red Devil" by some. This leads many to believe Pyramid Head is Jimmy Stone.
Pyramid Head is one of the four things above.
av Castrata 10 juli 2006
 
3.
One. Freaky. Bastard.
WHAT are you doing to that THING?
av Jessen 27 januari 2004
 
4.
Emotionless, demon raping, knife holding executioner thing that stalks James Sunderland torturing him in the game Silent Hill 2. Pyramid Head is one of the most fucked up and freaky things in any video game of movie.
Holy shit! Pyramid Head just killed Maria!... again
av adonkeyisaass 12 oktober 2003
 
5.
an embodiment of James Sunderland's pain and suffering; only one scene in SH2 in which he rapes something; kills a lot more than he rapes O_o; he is a minion of Samael; he is the reason millions of gamers around the world sleep with their light on; Pyramid Head is strangely sexy...in some weird....messed up way. *shudder*
Why do you keep killing my hamsters? *sigh* You're such a Pyramid Head!
av Ashley D'Amour 7 januari 2004
 
6.
A pimp that has gone maniac and still wants his money even in death, this psycho maniac rips the skin off of other hoes for warnings, he is the ultima mega pimp. His pimp hand weighs strong with his spear like cane and his giant sword as his back-up cane. He also rapes other monsters hoes, to show power over the other monster pimps.
In the silent hill movie before rose and the cop enter the church the pyramid head rips the skin off a hoe for being $2.00 short
av DJ R3 12 augusti 2006
 
7.
Silent Hill 2 monster. A man with a large heavy blood stained tetrahedron mounted over his head. He carrys with him a oversized blade or great knife or he carrys a large razor spear. He wears a bloody butchers apron, large black boots, and white gloves. Known for raping and utterly slaughtering his opponents, you do not want to meet him.
Dude, you better get outta my way before I go Pyramid Head on your ass!-me
av Career Builder Man 6 augusti 2006