The prose incarnation of the character next appears in Barker's The Scarlet Gospels (2015), now depicted not only as a Cenobite but also a leading figure of Hell. The narration says the jewelled pins in his head have blackened over the years, now resembling iron nails (giving him an appearance now more in line with the film franchise). The character is known as "the Hell Priest" in the novel, not a true name but an official title marking him as a powerful and high ranking authority in Hell. The novel mentions that some humans do refer to the Hell Priest as Pinhead, but that doing so in the demon's presence is to risk his anger. The same novel indicates there is debate among Earth's magicians as to whether this is the same Hell Priest who has existed for thousands of years or if he is a man who became a Cenobite during the 20th century, and is simply the latest of many to have Pinhead's appearance, power, and rank.
In 1998, Clive Barker stated that the novel would mark the death of Pinhead, and he hoped it would be definitive.
The Scarlet Gospels novel established that, in events that happened long ago, Lucifer, the Biblical Devil who rules Hell, abandons his dominion. A thriving society of demons rises in his absence, with the Hell Priest becoming a powerful figure. Eventually deciding to conquer the realm for himself, the Hell Priest spends years secretly killing off rivals in Hell as well as many magic-users on Earth, securing their sources of magical knowledge and power. After attempting and failing to kill occult detective Harry D'Amour, the Hell Priest decides the detective will witness and chronicle his rise to power. He kidnaps D'Amour's friend, a blind medium named Norma Paine, as a hostage. The Hell Priest journeys to a forbidden part of Hell where Lucifer is said to reside, hoping to gain enlightenment from their encounter. Instead, he finds an armoured Lucifer in a crypt, dead by his own hand. The Hell Priest dons Lucifer's armour, increasing his own power but inadvertently resurrecting the Devil in the process. Lucifer mortally wounds the Hell Priest, who then rapes Norma Paine to death and blinds Harry before dying. The battle concluded, the Devil journeys to Earth. All of Hell is then destroyed by an unseen force, including the Hell Priest's remains.
The 2018 novella Hellraiser: The Toll, plotted by Barker and written by his assistant Mark Alan Miller, bridges the gap between The Hellbound Heart and The Scarlet Gospels. In the novella, the Hell Priest is also known as the Cold Man.
Captain Elliot Spencer, Pinhead's human incarnation from the film franchise, has a cameo appearance in the novel The Bloody Red Baron by Kim Newman, in which he is working as an agent of the Diogenes Club. Suffering from shell shock, Spencer is discharged from the army after hammering nails into his own skull. In his introduction to Newman's collection The Original Doctor Shade and Other Stories, author Neil Gaiman claims Kim Newman was part of a group of friends who inspired the depiction of the Cenobites.
Film
In the films, the character is first referred to as "Pinhead" onscreen in Hellraiser III: Hell on Earth, a nickname proposed by glib protagonist Joey Summerskill. In the film Hellworld, the Cenobites are believed to be fictional characters and so different people in the story refer to the lead Cenobite as Pinhead just as fans of the Hellraiser franchise often do. In the film Judgment, the name is used onscreen as a derogative term towards the Cenobite by an angel named Jophiel.
In Hellraiser (1987), directed and written by Clive Barker, Frank Cotton escapes from the Cenobites, slowly rebuilding his body from the flesh and blood of victims. He recruits his sister-in-law and secret lover Julia Cotton as an accomplice in these murders. Frank's niece and Julia's step-daughter Kirsty Cotton unintentionally summons the Cenobites, led by Pinhead who explains they are "demons to some, angels to others". Kirsty offers to lead the Cenobites to her uncle who had escaped them, and Pinhead agrees to spare her. After claiming not only Frank but also Julia, the Cenobites turn on Kirsty, but she uses the puzzle box to banish them back to their realm.
In Hellbound: Hellraiser II (1988), Clive Barker worked on the film's plot and acted as executive producer but did not direct or write. In the film, Pinhead and the Cenobites follow Leviathan, a god of chaos who rules over Hell, depicted as a great labyrinth filled with tortures. The Cenobites are summoned to Earth by Tiffany, a young mute savant girl, but Pinhead declares they will spare her since she was manipulated to open the box by Julia, who escaped them, and her new accomplice, the corrupt Dr. Channard. Kirsty realises the Cenobites have human origins and shows Pinhead a photograph of World War I British Army Captain Elliott Spencer, the man he once was. Pinhead regains his human memories, regaining his humanity; he and other Cenobites then fight against Channard. He smiles to Kirsty before being killed by Channard (now a Cenobite) and Julia, who are later defeated. Kirsty and Tiffany escape the labyrinth.
This film is the first to name the villain "Pinhead" in the credits. Clive Barker intended Pinhead and his entourage to die in this film, leaving Julia Cotton to become the villain of future Hellraiser stories, but the studio wanted to return Pinhead to his villainous roots in a sequel. Clive Barker did not work on the stories for the subsequent films.
In Hellraiser III: Hell on Earth (1992), it is revealed that the death of Spencer in the previous film means the death of Pinhead's restraint and moral code. A new incarnation of Pinhead manifests who engage in a random killing spree, transforming some victims into new Cenobites. Reporter Joey Summerskill discovers Elliott Spencer's soul in limbo. Spencer explains his experiences in World War I caused him to see humanity and life as corrupt, leading him to use the Lament Configuration to summon the Cenobites, eventually joining their ranks. With Summerskill's help, Spencer's spirit escapes Limbo and re-merges with Pinhead. Summerskill then uses the Lament Configuration to banish the restored Cenobite back to Hell.
Bloodline was beset by numerous problems during production, leading the film's director to request his name be removed and credit given to Alan Smithee. The later films in the franchise were all direct release to home video or video on demand. In addition, those films are chronologically set between Hell on Earth and the third storyline of Bloodline.
In Hellraiser: Inferno (2000), Pinhead appears primarily under the guise of police psychiatrist Doctor Paul Gregory, assuming his true form near the end to inform protagonist Detective Joseph Thorne that he has been in Hell for the duration of the film, and is being punished for his corruption and various misdeeds in life.
In Hellraiser: Hellseeker (2002), Pinhead serves a role similar to the one he fulfilled in Inferno. Kirsty is now married to Trevor Gooden, a corrupt insurance agent who plots to have her killed in a murder-for-money scheme, using LeMarchand's box to "cleanly" kill Kirsty without the evidence pointing to himself, his mistress, or his conspirators. Pinhead appears at the end of the film to inform Trevor, who had amnesia throughout the film, that he has actually been dead and trapped by the Cenobites for some time; Pinhead had appeared to Kirsty, pleased at the prospect of a "reunion", but Kirsty ultimately struck a deal with him: she would be left alone in exchange for killing Trevor and his conspirators, thus giving the Cenobites the victims' souls.
In Hellraiser: Deader (2005), Pinhead appears several times to reporter Amy Klein after she tinkers with the box, a central relic of a cult she is investigating. After Amy is captured by the group's leader, Winter, she learns he is a descendant of puzzle creator Phillip LeMarchand, and believes that it is his birthright to control the box and, thereby, the Cenobites. However, neither he nor any of his followers have been able to open it. Amy successfully opens the box, but rather than submit to Winter, Pinhead instead kills him and his followers for attempting to control it. Subject to being taken to the Cenobite realm for having opened the box, Amy instead chooses to commit suicide.
In Hellraiser: Hellworld (2005), Pinhead and the Cenobites are horror film characters and have become the basis for a successful MMORPG called Hellworld. The game seems to come to life as Pinhead attacks the guests at a Hellraiser-themed party, but this is revealed to be the hallucination of five guests who have been drugged and buried alive by the party's host, who blames them for not preventing the suicide of his son, a Hellworld-obsessed fan. In the film's climax, the host discovers that the Hellraiser stories are based on fact, and his son came into possession of a real LeMarchand box. Opening it, the host is greeted by Pinhead, who praises his son's ingenuity before ordering a pair of Cenobites to kill him.
In Hellraiser: Revelations (2011), Pinhead is physically portrayed by Stephan Smith Collins and voiced by Fred Tatasciore. In the film, Pinhead is involved in the affair regarding Nico, Steven and Emma, each of them opening puzzle box. Nico is captured by Cenobites and tries to escape, while begging Steven to help him. Nico kills Steven after the latter refuses to help him further and Steven contacts Cenobites to get revenge on him. When Nico comes to kill both families, Emma uses puzzle box to summon Cenobites. After discovering more details about family's relationships and their affairs, Pinhead decides to take Nico for further experiments, but Nico is killed by Emma's father and instead decides to take Emma's mother to their realm.
In Hellraiser: Judgment (2018), Pinhead is portrayed by Paul T. Taylor. In the film, Pinhead eviscerates the angel Jophiel after manipulating events to cause the death of a serial murderer who is integral to God's plan to instill fear into sinners. Pinhead is punished by being expelled from Hell and sent to earth as a mortal man, crying out in longing for his revered state of eternal agony.
In Hellraiser (2022), a reboot of the series, Pinhead is portrayed by Jamie Clayton. In the film, Pinhead leads the other Cenobites after Riley and other humans progress through the configurations of the Lament Configuration.
Comics
150px|thumb|Cover of Pinhead #1 (Dec. 1991), art by Jim Sanders III.
Published by Marvel Comics' Epic Comics imprint in the 1990s, the original Hellraiser comics follow the canon of the movies rather than Barker's original novella, referring to the lead Cenobite as Pinhead. A spin-off miniseries was entitled Pinhead. In these comics, Pinhead is depicted as the latest incarnation of the cenobite spirit Xipe Totec, an entity derived from Aztec mythology. In the storytline "The Harrowing", Pinhead is revealed to have been romantically involved with a cenobite named Merkova, who was killed by the disciples of Morte Mamme, the sister and rival of Leviathan. Morte Mamme then selects a group of humans to act in opposition to the Cenobites, calling them the Harrowers. The team stars in the spin-off comic Clive Barker's The Harrowers, which ran for six issues from 1993–1994. In the Pinhead/Marshal Law crossover, it is revealed that Pinhead's human incarnation, Captain Spencer, took part in the Battle of the Somme.
In 2011, Barker began writing a series of Hellraiser comics for BOOM! Studios. These comics followed the canon of the first three films, taking place sometime after the events of the third. Starting with issue #2, the series refers to the character as "the Priest" rather than Pinhead. Reunited in Hell with his Cenobite entourage from the first two films (referred to in the comic series as his personal "Cenobium"), the Priest is still haunted by his full memories and now sees only futility in his existence, longing to explore new experiences and interests. He declares he wants to permanently return to his human form and seek spiritual salvation, then sends anonymous clues to Kirsty Cotton as to the locations of Earth's remaining LeMarchand puzzles. Kirsty summons the Priest, who betrays his Cenobium. Bargaining with Kirsty, she has her take his place so he can return to humanity. Kirsty becomes a Cenobite called "the Priestess" who resembles Pinhead but wearing a white robe and, unlike most Cenobites, is allowed to retain her memories and personality. A year later, Elliott Spencer appears on Earth, human once again and no longer fully remembering his existence as a Cenobite. Kirsty's friend and surrogate daughter Tiffany recruits Spencer into the Harrowers, humans who oppose the Cenobites and hunt down Lamarchand puzzles. Later, Kirsty arranges for Spencer's memories to be restored. Spencer then allies with another demon lord in order to attain new power and fulfill his true mission, to unleash damned souls on Earth, conquer humanity, and replace Leviathan. During this battle, occult detective Harry D'Amour attempts to help the US government stop the chaos, guided by his psychic friend Norma Paine and Spencer's former lieutenant, the Cenobite known as the Female. He and Kirsty learn of Spencer's corrupt behaviour before World War I, his desire to sleep with his own daughter Danielle, and that his final test to become a Cenobite involved fathering a child Priscilla with his daughter. Together, they defeat Spencer's bid for god-like power.
The Hellraiser series ended with issue #20, and the finale featured Spencer being defeated and then imprisoned alongside Kirsty within a "memory sphere" in Leviathan's realm. The series was followed by the 2013 limited comic book series Hellraiser: The Dark Watch, which begins one year later and reveals that Harry D'Amour became the Hell Priest or Pontifex following Kirsty's imprisonment, adopting an appearance similar to Pinhead but retaining his memories and personality because Leviathan saw him as more useful that way. D'Amour considers that the Cenobites, being human converts, are different in nature and motivation to the purebred demons he has met before (in the short story "The Last Illusion"). He confirms that while Leviathan and his Cenobites punish those who sin for the sake of pleasure, other realms of Hell have different demon orders that target other sins. D'Amour's ally Tiffany frees Kirsty and Spencer from imprisonment, later becoming a Cenobite herself. Elliott Spencer joins Abaddon's realm (which punishes the sins born of fury) and helps lead an army of the damned against Leviathan's Cenobite forces, with the hopes of then using the army to conquer Earth. After Abaddon's forces are stopped, Leviathan makes a deal with Kirsty and Spencer each in order to end their conflicts. Kirsty has humanity restored to herself, D'Amour and Tiffany, while her dead lover Edgar is restored to life. Elliott Spencer once again becomes the Hell Priest, but now with greater power and authority. He then kills Edgar and says goodbye to Kirsty.
Other tales of the Cenobites and Spencer as the Hell Priest are presented in the BOOM! Studios anthology comic book mini-series Hellraiser: The Beastiary (2015). The BOOM! Studios mini-series Hellraiser: The Road Below (2014) reveals Kirsty's first solo mission as the "new Pinhead" following her transformation into a Cenobite.
Video games
In 2015, Pinhead appeared in the action-adventure game Terraria as an enemy in the game's Solar Eclipse event, in which he has been renamed to "Nailhead" and possesses the ability to launch nails at the player.
In September 2021, Pinhead became a playable character in the online multiplayer horror game Dead by Daylight, alongside a purchasable Chatterer cosmetic. Doug Bradley reprised the role of Pinhead for the game.
Pinhead is set to appear as an overarching antagonist in the first-person survival horror game Clive Barker's Hellraiser: Revival, with Doug Bradley reprising the role.