About Pyramid Head (Silent Hill)
From Steam WorkshopFrom the distant fogs of Silent Hill, the merciless executioner known as Pyramid Head emerges into the world of Don't Starve Together. Commissioned by EnormousPharmacy !…
From the distant fogs of Silent Hill, the merciless executioner known as Pyramid Head emerges into the world of Don't Starve Together.
Commissioned by EnormousPharmacy!
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Stats & Perks
Health: 300 | Hunger: 150 | Sanity: 100 Hunger Drain: 30% faster | Dmg Reduction: 80% | Dmg Multiplier: 1-2x | Does not Talk
Pyramid Head is a terrifyingly powerful creature! He has an innate 80% damage reduction, and his damage multiplier increases the lower his sanity is, maxing out at 2x damage. He also has high insulation, making it difficult for him to freeze or overheat.
Pyramid Head enjoys murder... but not much else. He will gain between 5-10 sanity per murdered mob, but cannot sleep to gain sanity, and cannot gain positive sanity through food.
He is unaffected by the dark, losing no sanity at night/in caves and gaining night vision instead. His sanity is also unaffected by rain or wetness! However, he will steadily lose sanity during day and dusk.
Pyramid Head only eats meat, but doesn't care much about the state it's in. He'll still lose sanity when eating raw meat, but spoiled or monster meat can be eaten without penalty.
Pyramid Head spawns in with one item, the Great Knife. This is the only item that he will use. Any other item, whether weapon, hat, or armor, will be automatically unequipped.
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Great Knife
"Massive weapon wielded by Pyramid Head. Hard to use, but lethal."
- Deals 50 damage
- Unbreakable, cannot be unequipped (configurable)
- Can chop, mine, dig, and hammer. Can be toggled on and off by pressing the "Z" key (configurable)
The Great Knife has a special ability called Trail of Torment. By alt-clicking, Pyramid Head carves a trail filled with pain towards a targeted mob. Any enemy caught in this attack (targeted or not) will take 50 damage, and if aimed properly, enemies can even take damage multiple times!
This AOE attack does not harm nearby players, companions, or followers, so there is no worry about friendly fire. However, you can still target most of them, giving you extra aiming options.
Trail of Torment has a 2 second cooldown, and cannot be used again until the Great Knife recharges. 
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TO DO :)
-Bugfixes! If you experience anything not working as intended, please report it in the BUG REPORTS/KNOWN BUGS discussion. I've done my best to bugfix, but I am only one person and may have missed a few things.
Updates regarding balance or new content will be made only at the commissioner's request.
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Want your own character in Don't Starve?
My commission website and contact info can be found here
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Credit
Pyramid Head and Silent Hill are property of Konami. Dead by Daylight is property of Behaviour Interactive. Art and code are by me (mizartz). Mod design and text descriptions are by the commissioner (EnormousPharmacy). Thanks to Ultroman for the Food Values template.
Editing and re-uploading this mod is not permitted.
Highlights
From source dataFootprint
Rated a light load on a server.
Last update
Its author last shipped an update 5 mo ago.
Pyramid Head (Silent Hill) on Nxeon
From our catalogue- One-click install
- Supported on Nxeon Don't Starve Together servers. We download it from Steam Workshop, place it, and restart the server.
- Server load
- light
- Smallest plan we suggest
- Don't Starve Together — 2 GB (2 GB RAM). This follows our own load rating above, not a benchmark.
- Latest build
- 2026-06-11, released 2026-06-11
Game versions by loader
| Loader | Game versions | Newest |
|---|---|---|
| Workshop |
From 1 recorded build of Pyramid Head (Silent Hill).
Run Pyramid Head (Silent Hill) on a Don't Starve Together server
Pick a server or deploy a new one above; it is installed in one click.
What kind of mod it is
From the catalogQuality of life & UI
Small conveniences, tweaks and interface improvements players notice straight away.
Compatibility
- Game
- Don't Starve Together
Verified at the source
- ✓Steam WorkshopOfficial listing, checked 2026-11-01Open ↗
- ✓Authormiz, as published on Steam Workshop
- ✓LicenseNot published by the sourceFree
