Pyramid Head is well designed, but can have a toxic playstyle
Pyramid Head's power makes looping intense and its quite similar to Huntress. Correctly predict a vault or pallet drop and you get a free hit. He's pretty much just a massive mindgame. You have to prepare for and M1 or M2 at all times because unlike Huntress he's 115%. It's interactive so both the Survivor and Killer feel like their decisions effect the outcome of chases.
Unfortunately, the torment mechanics heavily encourages tunneling and its pretty common as a playstyle to try to force an early Kill without fear of Decisive. It seems like a strategy to leave someone tormented on 2nd hook so they can immediately Mori. It takes farming to a new level because they can immediately come back to the hook and just go for the Kill. You can't really win in that scenario, because the Killer will not chase the saver they'll go straight for the guy who just got off the hook. Kind of hard to win there honestly, I feel like eventually the strategy will be to just let people die on second hook if they're tormented because there's no point in saving them. Kind of like when you have someone in the basement with Bubba or Hag. You'll just have to accept they're dead and not get off gens