Masahiro Ito, the first three Silent Hill games monster designer, has published an early concept piece of his most renowned creation, Pyramid Head. Pyramid Head, originally a primary opponent in Silent Hill 2, has become synonymous with the franchise, appearing in multiple follow-up Silent Hill titles, as well as the movie series and other Konami-licenced games.
In 1997, Ito joined Konami and joined Team Silent, serving as background and creature designer for Silent Hill, art director and creature designer for Silent Hill 2, and art director, creature and backdrop designer for Silent Hill 3. Silent Hill 2 is still remembered today for its outstanding story, gloomy atmosphere, and character design, so much so that the Silent Hill 2 remake will not include any adversaries, with Pyramid Head standing out as a noteworthy adversary.