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South Park's creators Trey Parker and Matt Stone had written about 850 pages worth of material for the game which included nearly every character and element from the series. They were urged by the developers to cut down the material and possibly release some of it as downloadable content, however the two disagreed on the idea and after also hearing disapproval from fans over it, Parker said "and I agree... fuck that." Any material cut form the game may however be reused for the television series.
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According to the commentary for the South Park episode "Insecurity", one of the ideas for the game would have been to sneak into other people's homes and get past their security systems. This was before Trey Parker and Matt Stone went with the idea for the RPG Stick of Truth game.
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The scenes are also censored in the Australian release, and instead feature a picture of a crying koala.
The PC release, however, was only censored in Germany, Austria, Australia, Singapore, Hong Kong & Taiwan, with all other regions, including the UK, receiving the uncensored version.
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Matt Stone and Trey Parker have stated that The Elder Scrolls V: Skyrim, Earthbound, Paper Mario, and The Legend of Zelda were all key influences to the direction that The Stick of Truth took. Parker said that he loved the feeling of Earthbound, in being a kid in a big world, and playing within something larger than initially perceived.
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Attempting to leave the room when confronted with the task of Spoiler:removing a Snuke from Mr. Slave's asshole will cause Spoiler:an explosion to occur, the credits to play, and results in the player receiving a game over.
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It's possible to use the Mr. Slave summon while Spoiler:you're inside of him.
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