A Best Buy listing has revealed that the Silent Hill 2 Remake includes a playable origin story for the series’ most recognizable character, Pyramid Head. This information has yet to be confirmed by Konami, but it is predicted to have originated from an official source. The game's developers, Bloober Team, have stated they plan to "faithfully" adhere to the original game's storyline, leading to confusion regarding the reported origin story.

Many fans speculate that the reference to an origin story for Pyramid Head may simply be a misinterpretation of the 'Born From A Wish' side story, which occurs simultaneously with the early events of Silent Hill 2. This theory, however, does not quell fans' worries about potential unwanted changes to the game's original narrative.

Despite criticisms of Konami's past decisions and concerns over potential changes, Bloober Team remains committed to not altering the game's story. They promise to modernize Silent Hill 2 while sticking to the traditional story canon. There is still no confirmed release date for Silent Hill 2 Remake.