True
I keep finding new secrets in Q4, though, some rather nice with like extra rockets and large armour, others just a pack of slugs in some vent... Q4 has quite some stuff lying around the levels, often in weird places though.
About the difficulty setting, I found some documentation:
LevelEditor DifficultySettings - Quake 4 SDK Documentation
Whoah O_o They killed Kenny!!!

About the difficulty setting, I found some documentation:
LevelEditor DifficultySettings - Quake 4 SDK Documentation
Hardest: Adjusted damage will be 3.5 times the original damage.
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