Trickster x Pyramid Head (@saigon_3d)

Leon, Pyramid Head, & Mr. X | Resident Evil (link in comments)

Pyramid Head has his own idea of what the Cyprus Mori does, as

Pyramid head fuck (HentaVR / Tyvianna) [Silent Hill]

Cheryl and Pyramid Head

James x Pyramid head

Beta Pyramid Head bates you 💀

Pyramid Head (snip456fur) [Silent Hill]

Pyramid Head (snip456fur) [Silent Hill]

This wallbang made me act unwise (NSFW for Pyramid Head mains)

Pyramid Head Cosplay

Lady Pyramid Head, Cosplay by Extrostudio