He also makes a cameo appearance in the 2008 Silent Hill comic book Sinner's Reward, published by IDW Publishing. The writer, Tom Waltz, later said he regretted the cameo, which only functioned as fan service. To him, Pyramid Head is a psychological construct created for James; however, he stated that: "At the same time, I don't think that ruined the comic. Some people really liked it. To some people, Pyramid Head should be in all the stories because they do like him." Additionally, the character was portrayed from October 2 to 31, 2009, in the haunted attraction Sinister Pointe, based on Silent Hill, in Orange County, California, United States.
