Abstract Despite the computational resources present today, rendering high fidelity real-time graphics is a computationally intensive task. Although designers and developers of virtual learning environments typically strive for high fidelity graphics, evidence suggests that high fidelity graphics does not always lead to greater learning. Here we describe work in progress that is seeing the development of a medical-based cultural competence serious game called Fydlyty, that focuses on a low graphical fidelity design. Building upon our prior work, here we describe refinements to Fydlyty’s scenario editor, and the dialogue authoring tool to address two different categories of users’ (i.e. educators, and students).