The biggest issue was the Black Mass scene, which caused controversy in socially conservative North Carolina. Anthony Hickox had been refused permission to shoot in a real church, so he used a matte painting as a background to the altar. When the crew complained of sacrilege, Hickox told them it was no different than the countless Hammer horror films in which Christopher Lee as Dracula rampaged in churches.
The cast and crew reportedly got along well, and during an onset visit by Fangoria magazine, the only complaint reported was that Paula Marshall found her outfit too light to shoot during a cold winter night. The scene where Elliott and Pinhead confront each other was difficult to shoot, necessitating a stand-in for Pinhead. Bradley remarked that he felt "jealously protective" over the character when he saw his stand-in as this was the first time anyone else had ever appeared in character as Pinhead on a Hellraiser set.
Peter Jackson was asked to direct, but declined because he couldn't see himself directing such a serious horror movie. He liked the final product, but added that "if I made a Hellraiser film, I'd like Pinhead to be whacked against a wall and have all the pins flattened into his face. I immediately start thinking of funny things and gags - that's just the way I am."
Zach Galligan: appears as a bar patron who gets a pool cue in the stomach during the Boiler Room massacre. Galligan had worked with Anthony Hickox in Waxwork (1988) and Waxwork II: Lost in Time (1992).