Filmed in Belgrade, Serbia.
Doug Bradley, who originated the role of the Hell Priest/Lead Cenobite/Pinhead, had this to say about Jamie Clayton's take in a Twitter post, "I'm a bit blown away by this! The clever re-design of the make-up; the shimmer of the "pin heads"; the palette; whatever that keyhole/locket/tracheotomy thing is at the throat. It's simple, subtle, disturbing and sexy. Everything it should be. Peace and Pain, Doug."
The six configurations of the box represent its six gifts: Lament ("life"), Lore ("knowledge"), Lauderant ("love"), Liminal ("sensation"), Lazarus ("resurrection") and Leviathan ("power").
Cues of composer Christopher Young's original score from the original Hellraiser and Hellbound: Hellraiser II feature in the film.
The idea of the pin-covered head Cenobite being female isn't as new as some viewers thought. Already in the original novella, The Hellbound Heart, the corresponding Cenobite was said to have a feminine voice, the only clue to a possible gender a human could perceive (making this movie truer to the text) , but even more recently, in the Boom!Studios' Hellraiser comics, written by Clive Barker himself and released through the 2010s, Kirsty Cotton ended up turned into a female version of Pinhead when taking his place as leader of the Cenobites.