There are two things we know about Pyramid Head. One, he is a physical manifestation of guilt. Two, he generally causes the physical manifestation of crap in your pants. Oh, actually, there is a third thing we know about Pyramid Head: he makes an appearance in Silent Hill Homecoming. This raises the question: what is protagonist Alex Shepherd guilty of? Our guess is that he feels guilty about the desperate fan service required to keep gamers interested in this series.