Silent Hill 2's Pyramid Head design came to life from a painting in the game, not James's mind. This information came from a recent comment by art director Masahiro Ito.

So, that's why I love Pyramid Head, especially after Silent Hill 2 remake developer Bloober had to make significant changes to his first boss fight.

Pyramid Head wasn’t messing around in the remake. I love me some Silent Hill 2. The game was a huge hit, and while it might have slowly gained a larger following over the years, it’s found a ...