Originally introduced in the second Silent Hill game in 2001, he stalks the player character of the game, James Sunderland. Throughout the game, Pyramid Head watches and stalks the player as they go through the game. Throughout the entire Silent Hill franchise, Pyramid Head has appeared in two different variants. The first version is the normal Pyramid Head, but in the 2006 film adaptation of the original Silent Hill, a red version of the character, known as Red Pyramid, appears and is portrayed by Roberto Campanella. The same actor also plays the role of Pyramid Head in the 2012 film, Silent Hill: Revelation 3D.