I know this game is supposed to be difficult, but when I play "spastic", it feels like my controls are being overridden by someone who is trying to kill me EVERY TIME! I've beaten this game with all disabilities, but your approach to "spastic" was so harsh that it wasn't even fun. For that, I'm afraid that I award you No Stars.
I also took the "shortcut" in "spastic", but I didn't get a different ending when I climbed the ladder. How do I get the secret medal because I'm not playing this game again unless I KNOW how to get it?