Hi Fubar i can't tell you the exact reason for this strange head, but original he comes from the Silent Hill 2 Playstation Game. I've played the Silent Hill Game for years now and the film is a adaptation from the first Silent Hill Game. I think it is worth to see the film....but that is my personal taste. And i am a big fan from the games *hehe* There is only one pyramid head and my understanding about the pyramid head is, the creators wanted to wear him a pyramid or triangle, because it should look like that he has pain under it. Sounds strange i know. There are some details on wikipedia about him. Galadiel