Well, that went down much more smoothly than I expected! *enjoys cookie*
I'm also beginning to notice a link between Pyramid Head's appearances and suicidal thoughts on James' part. Think about it:
- Apartment appearance - just after James encounters Angela and tries to persuade her against suicide.
- Hospital rooftop appearance - immediately after James reads the diary of a patient who expresses suicidal thoughts.
That's as far as I am this play-through, but I'll certainly keep an eye on it to see if this link plays out all the way through. Without having a conclusive link at the moment, though, I'm tempted to suggest that Pyramid Head could appear at these moments in order to prevent James from taking the 'easy' way out of his torment. In other words James is forced to abandon and likely forget any thoughts of suicide when this external threat appears and trips him into survival mode.
EDIT: My God! With that post my SH Cash just landed on 666.
Maybe I hit on something the powers of darkness don't want revealed.