The developers handcrafted over 6,000 level segments .

The most significant change in the sequel is the move to an format. Meat Boy and Bandage Girl now sprint forward automatically, shifting the focus from directional control to rhythmic timing and mastery of a streamlined move set.

Unlike the handcrafted single-screen levels of the original, Super Meat Boy Forever uses a "chunk-based" procedural system.

Each save file generates levels by stitching these chunks together based on a specific seed, ensuring that no two playthroughs are identical.