While based on Ishinomori's original manga story, the 1990s version was put together by well-known manga artist Kazuhiko Shimamoto, who had been a fan of Ishinomori's work since childhood. Ishinomori contacted Shimamoto towards the end of the former's life, requesting him to work with him on reviving the story of The Skull Man. In accomplishing this, Ishinomori faxed Shimamoto the story premise and plot notes, while Shimamoto put it all together and did the artwork. A few years earlier, Shimamoto worked on a manga adaptation of the movie "Kamen Rider ZO", which included a short story about a struggling manga artist who completely idolized a fictional version of Ishinomori.