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October 1, 2014
The Split Worm is patterned after the Split Head creature that appears in the first game. It is also the first boss of the game, further mirroring the Split Head. It could represent Heather giving birth to God in a more vulgar aspect, with the worm's split opening symbolizing a vagina and the worm's "face" symbolizing God.
The boss may also carry phallic symbolism, which is reinforced by the various holes that the Split Worm enters and exits throughout the battle, something that could be an allusion to coitus. The teeth in the Split Worm's mouth may also contribute to this idea, however hinting towards the sexual experience being much more painful. This could point to Heather's possible reservations or fear of sex in general.
Yet one more possible understanding of the Split Worm's symbolism can relate to both pregnancy/childbirth, the reoccurring theme of the game. The Split Worm itself bears physical traits agreeable to the situation of maternity and a child's bearing. The outer, protective "shell" of the Split Worm can austerely represent the safety of being cradled within a mother's womb, as it is completely unharmed by any of Heather's attacks aimed towards its exterior. The skin around the head opening up to reveal another form hiding within could also point to this interpretation. Further, the door leading to the Split Worm contains a poem that is a clear reference to childbirth.