Pyramid head

Throughout Silent Hill 2, Pyramid Head is a tenacious antagonist who follows James through Silent Hill for an unknown reason. Unknown to James, Pyramid Head is a physical manifestation of his guilt over his wife Mary's death. James first encountered Pyramid Head in Wood Side Apartments in a dark corridor on the second floor.

Although Pyramid Head carried an executioner blade, iron bars prevented him from reaching James and killing him. Seeing no other option, Pyramid Head watched James enter the room next door. When James left the room and reentered the corridor, Pyramid Head had vanished into the darkness. James later encountered Pyramid Head a second time when he was attacking two mannequins in one of the apartments and killed both of them and James hid in a closet.

After killing the mannequins, Pyramid Head noticed James in the closet and moved towards the closet to kill him, but James was frightened and pulled out a pistol and shot Pyramid Head multiple times in the helmet. Pyramid Head shrieked in pain and staggered out of the room and retreated. Later, Pyramid Head encountered James for a third time in Blue Creek Apartments' staircase assaulting a Lying Figure, where he attacked James with his giant knife.

James tried to escape, but the door was locked. Pyramid Head attempted to kill James, but James used his gun to fend off Pyramid Head. A siren outside the building urged Pyramid Head to leave the apartment building allowing James to escape. Later, Pyramid Head encountered James again in a fenced rooftop of Brookhaven Hospital. James was heading back to the staircase door to depart downstairs, but Pyramid Head moved in from behind and struck James down with his knife, sent him into the fence, which broke off and sent James falling into the darkness one floor below, while Pyramid Head watched from above.

Later, Pyramid Head went to the basement of the hospital and found James, who survived the fall, and a woman who resembled his wife Mary named Maria. Pyramid Head chased the duo through the basement. James finally made it to the elevator, but the doors closed allowing Pyramid Head to catch up and stabbed Maria with a spear, killing her, but James was able to flee again, leaving him depressed that Pyramid Head killed Maria. Later, James found a painting in Silent Hill Historical Society, which depicted Pyramid Head with a spear with mutilated corpses hanging upside down in the background with inscription "Misty Days, Remains of Judgement", to which James thinks "it's him."

Deep in the Labyrinth beneath the Toluca Prison, James could encounter Pyramid Head twice in the two looped corridors calmly patrolling them. James could also obtain Pyramid Head's Great Knife in his room which contains several cages and hanged bodies.

At the very end after James watched the video tape in Room 312 of Lakeview Hotel, he went through a delapitated and burned down version of the hotel until he reached the main lobby. There James saw Pyramid Head, now having duplicated itself to better it's chances of killing him, waiting for him.

James fought the two monsters until he realised that to defeat them, he had to show that they no longer had any purpose to him. James accepted the fact that he had intentionally murdered his wife, causing the monster to become vulnerable and realise it now has no purpose as it cannot pursue him and feed on his fears. Due to this, Pyramid Head places it's spear in front of him and falls forward onto it, taking its own life.