ˌʌndɚ ðə nˈaɪf wʌz dᵻɹˈɛktᵻd baɪ kæzˈuːjə nˈɪɪnˌuː, hˌuː wʌz lˈeɪɾɚ lˈiːd dɪzˈaɪnɚɹ ɔnðɪ ɚɹˈɪdʒɪnəl ɪtɹˈɪən ˈɑːdɪsi fɔːɹ ˈætləs; ænd wʊd lˈeɪɾɚ wˈɜːk ˌɔn tˈaɪɾəlz fɔːɹ ˈɪmɪdʒˌɛpɑːk ænd skwˈɛɹ ɛnˈɪks.
Under the Knife was directed by Kazuya Niinou, who was later lead designer on the original Etrian Odyssey for Atlus; and would later work on titles for Imageepoch and Square Enix.