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The death of Monroe is pretty horrific due to how easily Pinhead was able to convince Terri to offer him as a sacrifice despite Pinhead wanting to give her a fate worse than death minutes earlier, as well as how ready Pinhead was to kill him. Not to mention Monroe looking up to see Pinhead's face as he drives a piston through his head. Sure, he was a jerk, but that is still an ugly way to go out.