- In Memoriam: This episode was dedicated to Stanley Kamel following his death from a heart attack on April 8, 2008.
- Reality Subtext: Monk's and the other characters' grief over the loss of Dr. Kroger is as much the characters' grief as it is the actors grieving the death of Stanley Kamel.
- The Character Died with Him: Dr. Kroger is killed off because the actor who played him, Stanley Kamel, died.
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