Paul Hellquist, the game's lead designer, was often omitted from key design meetings, which he later recounted was due to his contrary nature to Levine, questioning several of his choices; he used his frustration to put into the design efforts for the Medical Pavilion level that he was in charge of at that time.
Paul Hellquist, spelets chefsdesigner, utelämnade ofta viktiga designmöten, som han senare skildrade berodde på hans motsatta natur till Levine, och ifrågasatte flera av hans val; han använde sin frustration för att sätta in designinsatserna för spelnivån Medical Pavilion som han var ansvarig för på den tiden.