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This episode marked a rare time where Columbo (Peter Falk) showed anger towards a suspect (Leonard Nimoy).
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The uniquely shaped Operating Room, with observation windows above, was also used as the Beauty Mark lab in Season 3 "Lovely But Lethal".
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This episode shares its title with Honey West: A Stitch in Crime (1965), in which Anne Francis (Nurse Sharon Martin) also appeared.
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Anne Francis is one of nine actors to have portrayed the murder victim in one episode and a non victim in another episode. She is a non victim in short fuse. The others include, James Gregory who portrays the victim in short fuse and non victim in the most crucial game. Leslie Nielsen portrays the victim in identity crisis and is a non victim in lady-in-waiting. Tim O'Connor portrays the victim in an old-fashioned murder and is a non victim in double shock. Ida Lupino portrays the victim in Swan Song and is a non victim in short fuse. Sorrell Booke portrays the victim in the bye-bye Sky High IQ murder case and a non victim in Swan Song. John Dehner portrays the victim in last salute to the Commodore and a non victim in Swan Song. Dean Stockwell portrays the victim in the most crucial game and a non victim in Troubled Waters. Stephen Elliott portrays the victim in a deadly state of mind and a non victim in Grand deceptions.
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