Ito wanted to create "a monster with a hidden face", but became unhappy with his designs, which resembled humans wearing masks. He then drew a monster with a pyramid-shaped helmet. According to Ito, the triangle's sharp right and acute angles suggest the possibility of pain.Konami Corporation. The Making of Silent Hill 2 DVD. Konami Computer Entertainment Tokyo, Inc, 2002. Of the creatures that appear in Silent Hill 2, only Pyramid Head features an "overtly masculine" appearance. He resembles a pale, muscular man covered with a white, blood-soaked robe reminiscent of a butcher's smock. He does not speak, but grunts and moans painfully. His most outstanding feature is his large red, triangular helmet. His weapons consist of the deadly and heavy Great Knife, which the player can find and use for the rest of the game, and later a spear. As a German World War II tank enthusiast, Ito was inspired by the lower hull of the King Tiger heavy tank when designing the edges of the character's helmet; other military vehicles from that region and era informed design elements as well.
