I will destroy you both to preserve functionality." —PAMA to Jesse and Lukas/Petra, underestimating Lukas/Petra's mental powers. (Determinant) PAMA is the third episodic antagonist of the series, after Aiden and The White Pumpkin, and the fourth antagonist of the series overall. You will never defeat me! I will find your homeworld and make everyone you ever cared for useful! It will be great! Gabriel the Warrior • Ivor • Soren the Architect • Ellegaard the Redstone Engineer • Magnus the Rogue

In 2014, Congress passed the Protecting Access to Medicare Act (PAMA), a broad-sweeping “extender” bill meant to protect physicians from a then-impending 24 percent cut in medicare reimbursements. Improving operational efficiency is also a way that labs can attempt to shave wasted dollars off their bottom line. Strategies for operational efficiency include tactics like: Error. This data is contradictory. Does not not not not compute. Error. Diverting power." —PAMA when confronted with a paradox. As of recently, Eric Stirpe has mentioned that they considered the idea of a choice to help PAMA, but was cut for budget. Meaning PAMA would have been determinant. To adhere to PAMA legislation, the Center for Medicare Services (CMS) was charged with obtaining private payer data. CMS gathered information by putting the impetus for data reporting on “applicable” laboratories. Applicable laboratories were defined as those that:Jesse then unsuccessfully attempts to rip the Heart out, temporarily severing the connection between PAMA and Petra/Lukas. Jesse pleads for them to fight PAMA's influence, only for them to push Jesse off the Heart. Jesse clings onto Petra/Lukas, the latter holding onto the edge of the Heart. Jesse climbs up them, and finally reaches the Heart, when PAMA then unsuccessfully attempts to deceive him/her to show it mercy. Termination sequence: activated." —PAMA when trying to find Jesse after he switches to a mob while in Harper's mind-control headset. src PAMA is a gigantic, sentient computer with an emotive face via the use of Green Redstone Lamps. It's powered by sophisticated redstone circuitry located inside a cliff. Its Control Core is located behind its screen and can be accessed through a side tunnel. Inside the core are three redstone spires and the Redstone Heart that is the energy that powers PAMA. Because the rate calculation was done as a weighted median instead of a mean average, data is also skewed toward high volume instead of reflecting the average of all the prices charged. The lab community also points out that self-identification as an applicable lab is not a robust enough way to determine which lab data should be included in reporting. The CMS had no transparency around how they would determine whether submitted data met universal quality standards. I honestly think you should sit down and think things over." —PAMA to Jesse through Lukas/Petra. src

Menjaga keseimbangan alam, membangun harmoni dengan masyarakat dan terus menjaga kinerja terbaik untuk mencapai top performance adalah ciri khas PAMA. Karakter ini mendarah daging sampai ke semua level. Champion Spirit itulah Karakter kami. PAMA is the third episodic antagonist of the series, after Aiden and The White Pumpkin, and the fourth antagonist of the series overall. It is the second antagonist created by a person in the series, after the Wither Storm, created by Ivor. Although it's possible Harper created PAMA before Ivor created the Wither Storm chronologically. There are other criticisms of PAMA from the lab community as well. Opponents note that the reporting timeline placed lopsided burden on community labs to report data in an unmanageably short period of time, thereby skewing the results toward high-profit, high-volume discount labs who could bring in extra staff to meet reporting requirements.

The Laboratory Offensive Strategy

In Episode 7, the picture of Young PAMA with Harper is a reference to the iconic 1984 picture: "Steve Jobs with the Mac". PAMA (presumably) sometimes makes sounds similar to ones one can hear when dialing up to BBS on the computer. Error. This data is contradictory. Does not not not not compute. Error. Diverting power." —PAMA, glitching. src Jesse ripped out the Redstone Heart, killing PAMA, breaking its control over Petra/Lukas and the townspeople, ending its malevolent reign over Crown Mesa. PAMA is then subsequently dismantled by the world's citizens. Hilda • Blocco • Willy • Waffles • Wanda • PorkChop • Soup • Val • Giant Enderman • Binta • Kent • Cam