Pyramid Head makes a chilling appearance.

A dark, gritty illustration shows a large, muscular figure with a triangular, spiked metal head, flanked by three smaller, cracked-skinned humanoid figures in tattered nurse uniforms. The central figure kneels, while the two others stand on either side, all with obscured faces. The background is a textured, reddish-brown. The overlaid text reads 'i'm not a fan of the new nurse uniforms'.