In 1987, Alex' brother David was taken by the Cenobites to their hell. The Female Cenobite made a deal with the pleading Alex. If he would do their bidding and move the objects of hell, he could visit David whenever he met the box. If he didn't, David would burn. To help him remind him of theis deal, the Female Cenobite scarred Alex' face.
In the follwing years, Alex studied hard to become a doctor. In the meantime, he gave unsuspecting people one of the objects of hell, such as the snowglobe to Marcus Aimes and a music box to an antiquity dealer who would later meet Bethany Howard. All this to visit and speak to David.
When asked to give the box to a boy, he snapped and refused. David was immediatly burned to crisp. Swearing to set things right, he met Kirsty Cotton, who made him a Harrower.
He died at the hands of Samuel Hess, the minion of Pinhead.