Head - scratchbuilt
Great knife - scratchbuilt
Body - Microman
Lower legs - J vs C Nunchuk

A creature of many of the residents of Silent Hill's nightmares, Pyramid head is a terrifying spectre of evil and pain. Known by many different names - Red Pyramid, the Bogeyman, Triangle head, etc, Pyramid head represents both torturer and victim, and is whispered to bear the appearence of Valtiel, who in the religious tradition of Silent Hill, was one of the beings said to be created by God in order to lead people to obedience.