What if the Sammy krieg says in the crawmerax dlc is doctor Samuels from the doctors orders echo’s?
She IS the same Sammy from the Doctor’s Orders mission.
This was also discussed shortly after that HH pack came out.
The real question is : did she become a Psycho or did she used the Psycho language ? (TFTB Episode 1, Fiona uses the Psycho language to communicate with the psycho in her team)