Masahiro Ito was involved in a direct sequel to Silent Hill: Downpour. Ito was displeased with the way the character Pyramid Head was used in later installments of the series and wanted to reintroduce the antagonist "Valtiel" from Silent Hill 3. An opening scene in the Otherworld involving a baby carriage was also envisioned, in which Valtiel would slaughter Pyramid Head. The game was eventually cancelled, but as late as 2017, Ito has stated that if he ever makes a new game, he would carry out his plan to kill Pyramid Head or just not use him.