Pyramid Head usually steals the show when it comes to Silent Hill cosplay. In this case however, the Nurse easily outshines Pyramid Head.
The outfit, the veins, and the way the Nurse moves; all of it is beautifully captured by photographer Judith Stephens. The photo shoot took place during Anime Central 2009 last weekend, where for the most part, the cosplay at Anime Central was pretty lame, as evidence by these photos from Japanator.
Check Judith's Flickr page for more photos of the Silent Hill cosplay as well as a nice collection of other cosplay photoshoots.