The Encaenia is depicted in the film Shadowlands and in the Morse episode "Twilight of the Gods", and is depicted in the Jeffrey Archer novel, Not a Penny More, Not a Penny Less.
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A text adventure game adaption based on the book was developed and published by Domark, and released in 1987 for the Amstrad CPC, Atari XL, BBC Micro, Commodore 64 and ZX Spectrum computers.
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The book was adapted as a four-hour, two-part mini-series, directed by Clive Donner and starring Ed Asner as Harvey.
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When Harvey heads to Monte Carlo on vacation, a pill in his drink at the Casino causes severe abdominal pain which is made to look like a Gallstone, and Adrian operates, though barely breaking the skin, and collects a large bill.