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Anime & Manga
- In Gunnm, the motorball player "Caligula" Armburst has a habit of cutting off the hands of someone from the audience and wearing them on the horns of his helmet as a good luck charm for the game.
- A Batman comic had the villain communicate with the heroes, who were stranded on the island to which a millionaire invited them, while wearing their host's face.
- Garland Greene from Con Air: "One girl, I drove through three states wearing her head as a hat."
- In Warhammer 40,000, one Ork Nob miniature from the Assault On Black Reach starter set is wearing a pickelhaube with a skull impaled on it.
- In 8-Bit Theater, Black Mage wore Red Mage's burning corpse as a hat. (Red Mage eventually got better.)
- If we allow Richard's kidney hat, we allow this Chopping Block comic.
- Used as a punchline at least once in Ctrl+Alt+Del.
- Richard of Looking for Group. He also sports a dashing kidney hat. "Made with real kidney."
- Belkar of The Order of the Stick, with YokYok.
YikYik: He was a good father.
Belkar: But he made a better fashion accessory!
YikYik: I'LL KILL YOU!
- Scott demonstrates his fondness for horror in these two VG Cats strips.
- In episode 7 of There Will Be Brawl, we learn that Kirby killed Daisy and wore her head. Kirby is their equivalent of Hannibal Lecter.