In this episode of "How Many CTOs Does It Take?" podcast, hosts Scott Porad and Brad Hefta-Gaub discuss a recent incident in a small engineering team that highlights challenges of managing technical debt even with skilled developers and robust code review processes. They explore the importance of refactoring in agile methodologies, the pitfalls of large pull requests, and the complexities of quantifying and prioritizing technical debt. The conversation touches on the limitations of traditional code review processes and the potential of automated CI tools to enforce code quality. The episode underscores how even well-intentioned teams can fall prey to subtle coding anti-patterns and offers insights for improving tech debt management at different organizational scales.