The best replacement for pyramid head is nemesis.

The best alternatives to pyramid head are rated as following:
★★★★★  nemesis
★★★  butcher
★★★  big daddy
★★★  pinhead
★★  executioner
★★  slender man
★★  missionary
★  axeman
★  claudia
★  slenderman
★  executioner majini
  valtiel

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pyramid head
nemesis
butcher