The skull of Erlikosaurus andrewsi from the Upper Cretaceous Baishin Tsav locality of Mongolia represents the only known three-dimensionally preserved and nearly complete skull of a therizinosaurian. Computed tomographic (CT) scanning of the original specimen and three-dimensional visualization techniques allow the cranial skeleton to be digitally prepared, disarticulated, and restored. Here, we present a detailed description of the restored skull morphology and the individual cranial elements, including visualization of the internal neurovascular and pneumatic structures. Information gained from this study is used in a revised and emended diagnosis for E. andrewsi. A reappraisal of the evolutionary and functional changes in the cranial skeleton as provided by this study supports prior proposals that a keratinous sheath or rhamphotheca was developed early in the evolution of Therizinosauria. Paralleled by the reduction of functional and replacement teeth, this development indicates a shift in the manner of food processing/procurement at the tip of the snout. Extensive pneumatization of the braincase, most evidently developed in E. andrewsi in comparison with other known therizinosaurians, appears to have led to a reduction of the adductor musculature and thus the potential bite force in derived therizinosaurians. In addition, the application of digital data, as presented in this study, introduces a novel way to document fossil data that will allow for morphological and anatomical data to be made widely accessible.