I highly doubt that they used the actual New York mod model, it would have been too low poly and yes, it looks similar but its not exactly the same. It looks similar because they are both based on stryker stretchers, plus Sixteen Tons always thank and acknowledge their large modding community. As for the images, it seems there's two types of tow truck, could be a third for large trucks who knows. As well as there's two types of police car. The paramedic behind the doctors car LOOKS like he's got that girl in a wheelchair, could just be perspective. The tactical police officers look great, especially like the guy in the right hand corner who looks like he's aiming and moving toward a suspect. Also you can see what seems to be a tactical SUV for the drone there as well. Graphics are stunning, models of the vehicles, people, buildings, props all look absolutely beautiful, animations shadows and effects look brilliant, I absolutely love the trees. All round a monumental step up from Emergency 4 and really a game that this series community deserved, I can say that this is most likely my game of the year and probably for the new few years running. Well done Sixteen Tons.