Without warning, Pyramid Head grabbed one of the Straight Jackets and impaled it. It hoisted its wooden stake and plunged the end straight into the ground leaving the impaled Straight Jacket in the other sharp end. The other three Straight Jacket sensed danger. One of it got down and tried to squirm away. Pyramid Head was fast enough to bring its boot down on the Straight Jacket's head, crushing it. The other two sprayed acid at Pyramid Head. It backed away and lunged forward, grabbing another Straight Jacket and placed it into its mouth, chomping the Straight Jacket up. The other Straight Jacket looked at Pyramid Head, afraid. Pyramid Head slowly advance to it. The Straight Jacket suddenly lunge forward and head-butt Pyramid Head on its stomach. Pyramid Head clutched its stomach and bend down.

The Straight Jacket crouched low and jumped on to Pyramid Head's back and jumped forward after Pyramid Head fell. Pyramid Head got up and staggered fast towards the Straight Jacket. The Straight Jacket jumped to the side and gave a kick at Pyramid Head's side. That caused Pyramid Head to stumble to the open steel door and fell down the stairs. The sound of metal against concrete was heard before Pyramid's head knocked against the wall hard. It blacked out.

The Straight Jacket gave a cry of joy. It has just defeated the toughest opponent it ever faced. Its joy didn't last long when a steel pipe came piercing through its soft skin and come out from its mouth. The Faceless Nurse was smiling with glee. It pulled out her steel pipe with a fast tug. The Straight Jacket fell to the ground. Copying Pyramid Head, the Faceless Nurse stomped her foot on the Straight Jacket's head twice to make sure it's dead and stays dead. Still not satisfied, it started whacking the dead body. After fifteen whacks or so, the Faceless Nurse went to the stairs and saw her 'hero in rusted helmet', still unconscious.

When it opened its eye, Pyramid Head found itself staring at the ceiling.

"I see that my first patient has woken up."

Pyramid Head looked to the left to see the Faceless Nurse sitting on a chair next to it. It took a while for it to realize that it was lying on the floor.

"You were too huge for the bed. The instant I put you down, the bed crashed under your heavy weight. Or should I say your heavy head."

Pyramid Head sat up and smacked its head a few times with its left hand. It got up and was about to leave when the Faceless Nurse said, "Leaving so soon without saying 'Thanks'? At least show me a bit of gratitude."

"Saving your life and not eating you is already good enough", came a metallic voice echoing out from Pyramid's head. "You can speak?"

"Of course I do. It's just that I don't need to speak that much and I don't like to. If you don't mind, I would like to get back to what I'm doing."

"And that would be?" the Faceless Nurse asked.

"None of your concern", came the curt reply.

"You are a lonely being."

"I like to be lonely. I don't have friends. In fact, I don't need any friends or any help from anyone. I also don't want to know anybody. The only people I know are all eaten by me. I am a cannibal. I eat whatever's moving, living and breathing in Silent Hill. You are not an exception."

"Then why rescue me?" The Faceless Nurse seems not to let Pyramid Head step out of the room.

"I was hungry. All I thought was eating up the four Straight Jackets. Saving you is just a mere coincidence. So consider yourself lucky to be alive." Pyramid Head was getting a bit fed up.

"You look cute."

That made Pyramid Head silent for a few seconds.

"Do I? You're the first one who said that to me. No, you'll be the only person to say that to me."

"So what are you going to do to me now?" The Faceless Nurse asked Pyramid Head who was eyeing her carefully.

"Nothing. Go back to where you came from. I have nothing to do with you and you have nothing to do with me."

"That's the problem. I don't know where I came from. I have been like this for as long as I can remember. I recalled the moment I woke up, I saw myself in this outfit", the Faceless Nurse said, pointing to her nurse uniform which is white covered with dark brown stains. She also wore a white mini skirt and white shoes. Both also covered with dark brown stains. She also had a small white nurse cap with dark brown stains also covering it. She has also a pair of dark brown stained white gloves in each hand.

"Then I also had this steel pipe next to me", she points to the bloodied, rusted steel pipe leaning against the wall.

"This steel pipe is my only weapon. Other than that, there is nothing else I could defend myself with. Days passed, weeks, then months. I still have no idea what has happened to me. I dare not step out of this hospital. I'm too frightened. What if I got lost and need to get back here? What if I encountered a demon I had never seen before? I have been wandering in this hospital for a very long time. Long enough to find my way around blindly. There are also these Straight Jackets loitering around. There are also other nurses. I tried to communicate with them. All their replies were grunts and groans."

"The first time I recall myself looking in the mirror, I nearly freaked out. I don't have a face. No eyes, no nose. Nothing. But yet I could see and smell. It also took me some time to get used to being myself. I killed Straight Jackets and other Faceless Nurses when I needed to. Find a good place to rest when I needed to. And I don't feel any need for food. Just today, I was outnumbered by four Straight Jackets. Until you came. Thanks."

"That is nice to hear. But I have to go now. I don't plan on staying here too long. I have my own place to go to. And I feel sorry for what I had just heard," Pyramid Head was now very wanting to leave.

"Wait, can I come with you?" the Faceless Nurse asked.

"What for? You would only slow me down. Besides, why should I trust you?"

"Because I am the only Faceless Nurse with intelligence. As far as I know, whenever I looked into other Faceless Nurses' 'eyes', they have no sign of intelligence. They would just wander around aimlessly without knowing what to do. They don't even know how to open doors. I also can help you with what you are doing. Surely you would need someone to help you with someone. And besides, you would be going out of the Brookhaven Hospital, won't you? I could follow you out and continue my search."

"Search for what? On why you're like this? The reason is because you're dead! Get use to it. I'm wasting my time here."

"I know I am dead. I want to find out how. And.."

"And what!?" Pyramid Head was getting really impatient.

"I could be of use to you. You can eat me if you want or whenever you are hungry," the Faceless Nurse said softly. Her light brown hair seems to cover part of her face.

Pyramid Head was taken aback. This was the first time something was offering herself to it. Usually Pyramid Head had to either gave chase or beat up its prey so badly until it gave in so Pyramid Head could feed on it. Sometimes, its prey even begs for mercy which made Pyramid Head's meal more enjoyable. But this is something it needs to think about first.

Pyramid Head grab the Faceless Nurse's hand and brought her closer to it. It starts to sniff around her.

"You'll do. Even though you don't have that much flesh, I reckon you'll be a treat I'll enjoy chewing on. You will be the first Faceless Nurse I'll ever eat. Consider yourself fortunate. But eating you up too soon would be a waste. Because for once, someone says I'm cute....Ha-ha-ha-ha-ha!" Laughter echoed through Pyramid Head's metallic helmet. Laughter filled with slight mockery.

Pyramid Head was mocking itself. After years of killing and eating relentlessly, SOMEONE said it was cute. It couldn't help laughing. Pyramid Head suddenly stop. This was also the first time it laughed at what someone told it. Maybe because this was the first someone Pyramid Head met that could talk to it.

"My name is Rachel. What is yours?"

"They call me Pyramid Head."

"They?" Rachel asked.

"My preys. Even though they can't talk but only grunt and groan, I still understand them. It's like they speak in different tongues. I can't speak their tongue but I can understand what they say."

"Pyramid Head doesn't sound really nice. It is like calling you a funny name because of the way you look."

"Oh really? Then what would you like to call me?"

Rachel thought for a while. "I know! Pythagoras! That will suit you!" She said with a smile.

"Pythagoras...I like that name. How did you come up with that?"

"Pythagoras was a mathematician who came up with a formula to calculate an unknown side of a triangle using two other known sides and without knowing the angle opposite it. Since your head is a pyramid, I suddenly thought of a triangle. So.."

"Pythagoras. It sounds better than Pyramid Head. I am starting to like that name."

"One more thing", Rachel asked. "Are you male or female? I can't tell with that helmet over you."

"I'm a male. Most of my preys thought I was a female because of they way I devour them. They also thought just because I'm a cannibal, I'm a female. Just like the Black Widow Spider. Such stupidity."

Pythagoras reached for the door handle and opened it.