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Vertigo includes a new episode with 23 additional levels (three of them secret levels) for Descent II (Game), some new functionality, such as flickering lights, new textures and enemies, two new multiplayer modes, as well as a new redbooksoundtrack with 7 new or remixed songs. In order to play the new music, the game first had to be started with the original Descent II CD, and then the player had to switch CD's at the main menu. Only the Descent II CD was required to play it, and in that case the regular Descent II soundtrack would play.
The new functions and textures were also incorporated into the PlayStation game Descent Maximum (Game), which was loosely based on Descent II and Vertigo, with new level designs but the same over-all plot.
The uncredited tracks are likely by Brian Luzietti, Larry Peacock or Johann Langlie.