Pyramid Head |

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This lumbering, monstrous creature takes on the appearance of an executioner
from the town's past, wielding an impossibly large blade known as the Great Knife and on other occasions a spear. It's depicted
wearing a blood stained, triangular metal helmet. He relentlessly stalks both James and Maria and is the incarnation of the
part from James' consciousness that believes he deserves punishment for murdering his wife and his repressed sexual urges.
The creature is officially known as the Red Pyramid Thing according to the creator's commentary found in The Book Of Lost
Memories. However, the name can also be interpreted as 'Pyramid Head' which also was used in dialogue by the game's protagonist,
James Sunderland. The latter name was widely used since the Silent Hill 2's release in 2001, two years prior to the
publication of Lost Memories, and has since been confirmed as also another official title for the creature.
Flesh Lips |

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Lattice-based monsters that are suspended from the ceiling within a metal
frame, like a cage, and attacks by strangling the player with their legs. James encountered these monsters when
Laura locks him inside the room in Brookhaven Hospital. Also called "lustful lips" in production documents (indicating Vaginal
imagery), with the lattice representing a bed and the monsters themselves
representing Mary.
Ideal Father (Large Abstract Daddy) |

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Two writhing, reclining figures
on a walking bed-like form and a symbol of Angela's past. It has four legs which are used to approach a victim. The creature
lifts its body and reveals a "mouth" that is used to attack. One of the only monsters in the game which does not originate
in James' mind, it is a manifestation of Angela Orosco's sexually abusive father and the guilt she felt over falling prey
to him. In some original production documents, the name given for these creatures was "Angela Papa".
Eddie |

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Eddie eventually succumbs to the horrors of Silent Hill and tries to kill James.
Mary/Maria |

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The identity of the final boss is dependent on which ending the player has achieved
by the end of the game, though the monster's actual appearance is identical in either scenario. Her design is quite similar
to "Flesh Lips" in which both share the concept of a figure being encased by the same metal framework, but she is portrayed
upside down (in the same way Maria was displayed to James during her execution by the two Pyramid Heads). While hanging in
the air, her primary attack is a vine-like tentacle which emerges from her mouth. She also unleashes a swarm of black "butterflies",
which do not deal any harm but delay James from moving temporarily. This being is the embodiment of James' conflicted emotions
toward his wife Mary during her final days.
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