[b]Pacemaker[b] extractors are made of a relatively thick material which masks the sound coming out of the extractors themselves, however because they have relatively long runners (talking about the V6 verions here) and because they flow better than stock exhaust manifolds, they usually do provide for a slightly louder and slightly deeper exhaust sound, particularly if the muffler(s) and resonator(s) in the exhaust system are free-flowing. The difference in sound and deepness is often not even noticable.
HM Headers on the other hand are made of a relatively thin material, and are not made via a casting process. They are made of either mild steel or stainless steel. All of these things result in a set of extractors that are alot noisier than most other brands of extractors and than the stock exhaust manifolds. You can very clearly hear the sound of the exhaust gases travelling through the extractors themselves, and the exhaust sound of the car is louder/noisier and deeper. High revs are not left out - they are louder and more painful to hear (i.e. very noisy).
HM Headers extractors provide the greatest performance boost for the widest RPM range. They are noticeably better than stock exhaust manifolds from just above idle, all the way through to high RPM levels. HM Headers don't look as "clean" as others (e.g. non-cleaned welding).
Pacemaker extractors also perform highly, however their range seems to be "bandy". They often only provide a noticeable performance gain during mid-RPM levels, with virtually no gain during low-RPM and high-RPM levels. Pacemaker extractors are of very high build quality (welds, etc).
However even the "N/A" extractors are a little bit big for a stocky V6 - the best size in my opinion for a street stocky V6 is a fraction under 1.5". Pacies are very "bandy" - once broken in they will provide a pretty high performance increase at around 3,500rpm (or say 3,000 thru to 4,000) but outside of that range they will hardly effect performance at all. Genies are similar and HM's are true Tuned headers specifically designed for certain engines.
Yes, Pacemakers are indeed Tuned Length Extractors - i.e. all three primary runners collect together, and the primary runners are relatively long. When I mentioned tuned length regarding the HM headers, I meant that they are "true tuned" extractors, for the applicable engine. HM Headers engineers their headers to exactly match the certain engine(s) that they are for. I don't know of any other brand that actually engineers all of their headers... That's why HM Headers cost $650 for a pair of relatively average looking headers - they are pretty much perfect in regards to design.
Pacies would have to be the best BUILT extractors - the welds, collectors, and bends are extremely well-made. They look very high-end and certainly flow very well, however aren't specifically tuned like HM's. Pacies cost $435 a pair, while Genie Extractors (best way to describe them is a slightly cheaper copy of Pacemakers) are a bit cheaper.
So yes all HM extractors/headers are specifically engineered while Pacies aren't. However Pacemakers are certainly of Tuned Length design/type (for the V6's).