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The best friend of From Beyond's narrator, Tillinghast is a researcher of the "physical and metaphysical". Characterized as a man of "feeling and action", the narrator describes his physical transformation after he succeeds in his experiments: "It is not pleasant to see a stout man suddenly grown thin, and it is even worse when the baggy skin becomes yellowed or grayed, the eyes sunken, circled, and uncannily glowing, the forehead veined and corrugated, and the hands tremulous and twitching."
In the first draft of the story, Lovecraft called the character Henry Annesley; he replaced that name with one composed of two old Providence surnames. In The Case of Charles Dexter Ward, Lovecraft mentions "the seasoned salts who manned...the great brigs of the Browns, Crawfords, and Tillinghasts"; James Tillinghast and Eliza Tillinghast are minor characters in that story.
In the film From Beyond, he is played by Jeffrey Combs.