Pyramid Head Boss Fight Guide

Here's how to beat Pyramid Head in the Silent Hill 2 Remake. Check out our guide for the boss fight walkthrough and all Pyramid Head encounters!

How to Beat Pyramid Head

Prioritize Dodging

Dodging is the only way you can avoid damage from Pyramid Head's attacks. Keep your distance and try to kite around him when possible. If he gets too close and attacks, time your dodges as he can still hit you if you dodge too early or too late.

Shoot The Body

While we cannot confirm if this actually does more damage, it sounds more realistic given how this monster has a giant metal triangle covering its head.

Perform Melee During Openings

Though rather risky, if you're low on ammo, you can engage Pyramid Head in melee. His attacks do hurt, but they're also slow, giving you a few seconds after a well-timed dodge to sneak in a melee attack or two.

If you've studied his attack patterns enough and feel confident, you can try beating this boss purely in melee.

Recommended Weapon: Hunting Rifle

All firearms are generally more effective on an enemy like Pyramid Head. However, the Hunting Rifle outputs the most damage per shot and allows you to accurately hit Pyramid Head well outside his effective combat range.
Hunting Rifle Location

Double Pyramid Head Fight

They Have Faster Attacks

Pyramid Head with a Spear is a bit faster. His attacks are weaker, but quicker and farther-reaching.

Keep Your Distance

The safest bet during this fight to to stay outside of armsreach of both Pyramid Heads and to constantly sprint-and-shoot, staying along the edges of the area.

Focus on The Closest Pyramid Head

Concentrate you attacks on the closest Pyramid Head. Though there are 2 of them, their health seems to be shared, so it'll be easier to just damage whoever is closer.

Recommended Weapon: Hunting Rifle

We recommend still going with the Hunting Rifle because of its accuracy and high damage. It worked best against Pyramid Head in the original and still holds true here.

Hunting Rifle Location

Pyramid Head Moves

Wielding Great Knife

Wielding Spear

All Pyramid Head Encounters

1st Encounter: Wood Side Apartments

You first encounter Pyramid Head on the second floor of Wood Side Apartments. You're officially introduced to the monster in a cutscene after unlocking room 201.

2nd: Encounter: Blue Creek Apartments

Fully restoring the Grandfather Clock unlocks the doors with the letter 'S' on them on the first floor. You have to survive against Pyramid Head in a timed boss battle.

Dealing damage to Pyramid Head quickens the timer, shortening this boss fight.

3rd Encounter: Brookhaven Hospital (Otherworld)

You encounter Pyramid Head a third time in a brief cutscene after acquiring the Page From A Diary key item on the rooftop of Brookhaven Hospital.

4th Encounter

Pyramid Head, now wielding a spear, will suddenly appear and chase you and Maria as you both head to the elevator after putting all the rings on The Lady of The Door.

5th Encounter: The Labyrinth

You run into Pyramid Head here Twice. The first one he hunts you as you search for the Wirecutter to get through the wired gate in the Flooded Area.

You come across him again once you reach a certain part of the Ruined Hallway. Pyramid Head suddenly emerges from a wall and corners you between himself and the Strange wall.

6th Encounter: Lakeview Hotel (Otherworld)

After you reach the door with 9 save points, you will have your last encounter with Pyramid Head. However, now you must fight 2 of them with spears.

Pyramid Head Boss Information

Pyramid Head Enemy Profile

Pyramid Head is a Monster that resembles an executioner with a large metal triangle 'helmet'. It usually carries a a giant knife, but can also wield a spear.

Monster Stats

Official Name: Red Pyramid Thing

While widely referred to as Pyramid Head, it's official name is actually Red Pyramid Thing. It is one of the most iconic monsters from the Silent Hill franchise, and is one of the bosses you have to overcome to progress the story in the Silent Hill 2 Remake.

Silent Hill 2 Remake Related Guides

List of All Bosses

All Bosses

All Bosses
Pyramid Head	Flesh Lips
Eddie	Abstract Daddy
Final Boss	-