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Hulu's 2024 Hellraiser reboot introduced a female Pinhead, and the change brings Hellraiser closer to Clive Barker's original book. The Hellraiser reboot movie includes a female version of Pinhead, but this change to Hellraiser movie tradition actually closer to the character's original depiction.

In the 2024 film, Pinhead is played by Jamie Clayton. On the decision to cast Clayton, a trans woman, as the character, the film's director, David Bruckner, explained: "We felt a kind of anticipation around the fans to reimagine the character. We knew we wanted Pinhead to be a woman.