Great level. I'm not sure where the 4-off is that others are mentioning, but I went from 18-off to 10-off, and then straight to the solution. The last 10-cut was through a pretty subtle but very nice idea. Probably one of the most enjoyable spinners I've played, great fun!
Astounding level, this might just be my all time favorite in Pathology. The setup needed to touch the end is incredible, and feels like a true Panacea classic. The optimization is a little bit brutal, but feels great to work through nonetheless.
Some of this is perhaps bias from me helping playtest a proto-version of this level, but this is really a masterclass in design. Excellent.