Miles Upshur's entire name is a reference to the term "miles up shore without a paddle", meaning that he is in too deep to return, which is accurate as he goes into Mount Massive Asylum and he is too deep to return back. It's an alternative (and more cleaned up) way to say the more popular "up shit creek, without a paddle"
It was originally planned for Miles to have been sexually assaulted at some point in the game.
The location that this game takes place in, Mount Massive Asylum, is based on a real life location known as the Richardson Complex. It is located in Buffalo and is currently a hotel in which people can stay the night. It was previously a real life insane asylum.
First first-person video game that also includes the found-footage film genre.