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Described by Doug Bradley as stronger than Jason Voorhees and Michael Myers, Pinhead is an extremely powerful being with supernatural abilities. His preferred method of attack is to summon hooks and chains that mutilate victims, often tearing them apart.

In the films, Pinhead is depicted as extremely powerful, with the ability to manipulate reality, summon chains and hooks, and create elaborate torture scenarios. His powers are often linked to the mystical puzzle box known as the Lament Configuration.