Because of his life as an assassin, Simmons' soul goes to Hell. In order to accomplish his vow, he makes a pact with the devil Malebolgia (who was the overlord on the eighth plane of Hell). The pact was a simple one: Simmons would become a soldier in Malebolgia's army (known as a "Hellspawn" or "Spawn" for short) in return for the ability to walk the earth once again in order to see Wanda. However, Simmons was tricked by Malebolgia: his body was not returned to him and he is returned to Earth five years after his death. He had been given a different body which was a festering, pungently cadaverous, maggot-ridden walking corpse that had a massive living red cape attached to it. Because his new body had been rotten for some time and was in an advanced state of decay, his face had become heavily malformed, to the point that he barely appeared human, which led to Simmons donning a mask in order to cover its grotesque appearance.