General Computer made the game as a modification kit for the original Pac-Man, titled Crazy Otto. However, due to previous legal action with Atari, GCC was forced to present the project to Midway, the North American distributor of Pac-Man. Midway purchased the project and enlisted GCC to use the game as a basis for the sequel to Pac-Man. Multiple names were considered for the game, including Miss Pac-Man and Mrs. Pac-Man, before the final name was chosen for being easier to pronounce. While development had started without Namco's consent, company president Masaya Nakamura was brought in and provided feedback on the player character's design. The company ultimately collected the same royalties on each cabinet as they had with Pac-Man.