Tier list based on power design

A few things:

1) Not every Nurse player that wins plays her well. Most Nurse players intentionally try to slug the entire team at 5 gens to make up for not hitting her skill ceiling and due to her ridiculously strong power she WILL slug you eventually even if the Nurse player messes up a lot of blinks and getting let's say only 60% out of her potential.

That's why I couldn't care less about how much "skill" she requires. She is literally so strong you barely have to make it past her skill-floor to be able to win games by playing the typical slug-them-all-at-5-gens-Nurse.

2) Pyramid Head is -by far- the most strategic and mechanically demanding projectile killer in the game with a skill ceiling that (imo) nobody has even hit yet (including Otz). His skill ceiling requires you to think outside the box* and analyze the map literally 100% of the time.

You also have to analyse all survivors and their movements individually to evaluate whether they're likely to bait a vault/pallet or even a narrow hallway or not as his POTD is (more) risky to use (than Nurse's blinks) against people that just hold W when you miss.

Nurse can nearly instantly close the distance and try again after messing up a blink. Pyramid Head has to chase after you and close the distance with his lousy normal movement speed after standing still for multiple seconds and giving you a 8+meter headstart (POTD default range).

You also have to constantly evaluate when and how the map allows you to go for a shot with no line of sight with the lowest level of risk (i.e. going for a prediction shot on the outside of the map results in less distance for the survivor if you miss than inside the map as they can hold W to every direction and make distance as opposed to outside-loops where they're forced to go right/left around you.

In my opinion Pyramid Head has easily one of the highest skill ceilings in this game.

* = what I mean by thinking outside the box and analyzing the map while chasing someone:

But yeah: Pyramid Head is clearly "BrAiNdEaD"