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In an interview with SPoNG.com, Monkey Ball creator Toshihiro Nagoshi said that he planned to release the game for the Xbox 360 and PlayStation 3. The game was later released for the Wii exclusively, and no such announcement for other consoles were made. A reversal of this later happened with the 2006 edition of Sonic the Hedgehog and Sonic and the Secret Rings.
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In Banana Blitz HD, completing World 8 unlocks Sonic from the Sonic the Hedgehog series. This marks the first time a character from a different universe is playable in the Monkey Ball series.
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Doctor was originally meant to wear overalls. His early design was shared by the official Super Monkey Ball YouTube account in 2023.
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