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You'd think an ambulatory would have something to do with an ambulance? Not really. An ambulatory is a place for walking around the apse of a monestary or church. So, in this level, we really do have a middle circle which we can walk around the central part of the level. Over time, it eventually opens up to make a complete circle. We also have a fun crusher area, but it's not worth wasting the time to get all of the enemies to walk through it. Some enemies just aren't going to follow you there.