- Paul's Case was adapted for television in 1980 as an episode of PBS's The American Short Story anthology series. The 54 minute presentation was directed by Lamont Johnson and starred Eric Roberts.[23]
- Paul's Case was also released as a book-on-tape by HarperCollins in 1981.[24]
- In 1986, Paul's Case was released as an audiobook by Caedmon Audio Cassette[25]
- The story was the basis for a chamber opera in two acts with music by Gregory Spears to a libretto by Spears and Kathryn Walat. It premiered in April 2013 at the Artisphere in Washington, D.C.,[26] and was then performed for the PROTOTYPE opera festival in New York City, performed at HERE, 145 6th Avenue.[27]
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