Wormhead

Description:
Worm Heads are essentially upgraded versions of the Groaners. Due to Silent Hill's corruptible force, the Groaner transforms into a more grotesque and powerful creature. Its head is completely covered in what seems to be a mass of worms (hence the name) and it has gained more mass than its Fog World counterpart.
Method of Attack:
Always in groups. Their attack patterns are vaguely like their Groaner cousins, but they're much more organized and tactful than the latter.
Symbolism:
Similar to the appearance of the Night Flutter, Wormheads exhibit the effects of the shift to the Otherworld, showing the deforming power of Alessa Gillespie's nightmares.
They share the same symbolism as the Groaner, being Alessa's fear of dogs, as well as the Night Flutter's symbolism of Alessa's aversion toward insects, worms, snakes, etc.
Reasons for Manifestation:
• Cyanophobia, fear of dogs.
• Insectophobia, fear of insects.
Area:
• Business District
• Resort Area
~Taken originally from the Silent Hill Wiki

Description:
Worm Heads are essentially upgraded versions of the Groaners. Due to Silent Hill's corruptible force, the Groaner transforms into a more grotesque and powerful creature. Its head is completely covered in what seems to be a mass of worms (hence the name) and it has gained more mass than its Fog World counterpart.
Method of Attack:
Always in groups. Their attack patterns are vaguely like their Groaner cousins, but they're much more organized and tactful than the latter.
Symbolism:
Similar to the appearance of the Night Flutter, Wormheads exhibit the effects of the shift to the Otherworld, showing the deforming power of Alessa Gillespie's nightmares.
They share the same symbolism as the Groaner, being Alessa's fear of dogs, as well as the Night Flutter's symbolism of Alessa's aversion toward insects, worms, snakes, etc.
Reasons for Manifestation:
• Cyanophobia, fear of dogs.
• Insectophobia, fear of insects.
Area:
• Business District
• Resort Area
~Taken originally from the Silent Hill Wiki