The most iconic creation from the world of Silent Hill, the Red Pyramid Thing, known as Pyramid Head, began as a manifestation of James' guilt in Silent Hill 2 and has followed our protagonists in various games and films, always holding the Great Knife and the Great Hold.

This figure appears on the front side of this collectible coin, with the reverse side depicting the Seal of Metatron along with the original line from Mary’s letter in Silent Hill 2: "In my restless dreams, I see that city." Limited to 5,000 pieces worldwide and numbered, the coin comes with an acrylic display base.