Scarlet Egg

The Scarlet Egg is one of two eggs found near the end of Silent Hill 2. James Sunderland obtains the item after defeating the two Pyramid Heads in the first floor lobby of the Otherworld Lakeview Hotel following him coming to terms with his guilt.

The connection the eggs have to Pyramid Head and James isn't specified in-game, but they are both used to unlock the doors leading to the final boss. Once both are inserted into the lobby doors, they will unlock and grant access to the final hallway.

Symbolism
The scarlet egg could symbolize Maria, as she could be represented as "new", "healthy", "beautiful", and "alive", while the rust-colored egg could represent Mary Shepherd-Sunderland, who is "old", "diseased", "ugly", and "dead". Alternatively, the scarlet egg could represent "fresh" blood, alluding to the death of Eddie by James's hands, as opposed to the old dried blood of Mary's demise.

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