4. Pyramid Head - Silent Hill series
For our money, Pyramid Head is the most terrifying creation in the pantheon of video game villains. From the moment he makes his chilling debut in Room 307 -- complete with rape and murder -- you know you're up against a different type of foe... something cruel, unknowable and terrible.
With his iconic visage and indomitable thirst for sadism, Pyramid Head was the chief horror of Silent Hill's Grand Guignol. It's no surprise that he was the standout character in the film adaptation. Once you stare into that black visage you are never quite the same again. Brrrr...