

The character's appearance in 1987's Hellraiser marked a significant departure from the standard 1980s depiction of horror film villains, who tended to either be completely mute, or provide glib commentary while killing their victims. The Hell Priest's nature, and the motivations of the Cenobites, vary depending on the story. Additionally, Barker's novel The Scarlet Gospels indicates that there is debate on whether there has always been one Hell Priest existing for many millennia, or if the title and nature of the Hell Priest has been adopted by many different humans-turned-Cenobite across the centuries. In Barker's Hellraiser comics published by BOOM! Studios, it is implied that Spencer was not the first Hell Priest or Pontifex and indicate that others will be recruited to fill the role if he ever leaves or is destroyed. In the Hellraiser film series, Pinhead was once British soldier Captain Elliott Spencer, who became disillusioned with life and humanity during his experiences during World War I, leading him to summon the Cenobites and join their ranks. In the 2022 film, the character is portrayed by Jamie Clayton. In Hellraiser: Judgment (2018), he is played by Paul T. In Hellraiser: Revelations (2011), Pinhead is played by Stephan Smith Collins, with Fred Tatasciore providing the character's voice. In 1987's Hellraiser, the character is portrayed by English actor Doug Bradley, who went on to reprise the role in seven subsequent Hellraiser films. In The Hellbound Heart, Pinhead is described as an androgynous being with a feminine voice.

Cenobites are usually only summoned to Earth through puzzle boxes, such as one called the Lemarchand Configuration (known as the Lament Configuration in the film series). They exist in an extra-dimensional realm that is Hell or one of many versions of Hell that co-exist. Pinhead is one of the leaders of the Cenobites, said to be humans who were later transformed into demonic creatures blindly devoted to the practice of experimental sadomasochism. The name was then used in press materials, tie-in media, and on-screen in some of the film's sequels, although Barker himself despises the moniker. The production and make-up crew nicknamed the character "Pinhead"-derived from his bald head studded with nails -and fans accepted the sobriquet. When Clive Barker adapted the novella into the 1987 film Hellraiser, he referred to the character in early drafts as " the Priest" but the final film gave no name. The character first appeared as an unnamed figure in the 1986 Clive Barker novella The Hellbound Heart.

Pinhead (also known as Lead Cenobite or the Hell Priest, among other names and titles) is the main antagonist of the Hellraiser franchise.
