The game's main menu was originally designed around various monitors similar to those seen around the Tulpar. While this was replaced with a more plainclothes design in the final game, the original layout is still present in the same screen. However, it is hidden out of the player's view and blocked out by various gray boxes. In an interview with YouTuber Derek "Shesez" Forte on his series Boundary Break, developer Jeffrey Tomec stated that the original idea was that the main menu would mimic Curly's medical equipment, fitting how the title screen displays Curly lying in the medical bay. Each option would be displayed on one of the screens, and when the player selected an option, the camera would zoom in on the screen. However, this idea was abandoned due to concerns that the game's deliberately low resolution would render the text illegible.