The Butcher

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A monster known as The Butcher appears in Silent Hill: Origins as a major antagonist towards Travis Grady. The Butcher is a humanoid creature much like Pyramid Head in design, behavior, and function. He's a well-built humanoid with a butcher's apron, which is spattered in blood. He also wears a series of metal plates that cover the left half of his face and left shoulder. His trademark weapon is a heavily oversized meat cleaver called the Great Cleaver. The other half of his face is fairly empty, save a deep hole where the ear would be on a human head, and it resembles that of Valtiel.

The Butcher behaves much like Pyramid Head does, with his relentless pursuit of the protagonist and frequent murder and slaughtering of various monsters. However, unlike Pyramid Head, The Butcher does not display any of the former's sexual characteristics. Also, whereas Pyramid Head's movement is very jerky and almost twitchy in nature, The Butcher's movements are always fluid and controlled, giving him a much more calm and focused appearance than the other "Bogeyman"-type monster.

Travis meets The Butcher several times throughout his journey to Silent Hill. The first encounter occurs when Travis finds him marching down a hallway, only to stop and grab a nearby Faceless Nurse, before stabbing her in the belly with his cleaver and then rending her in half before dropping her and skulking away. While in the maintenance tunnel in the Riverside Motel, Travis can look through a peephole into room 503, a room he was standing in only moments ago, in which he will see The Butcher standing next to the bed. Coincidentally, the room the Butcher is in is filled with both photography and anatomy artwork of the Butcher and other monsters.