[7] Damon Gupton was cast in the recurring role of Gregg Edwards, a doctor at Pineview Mental Institution.

[8][9] Jaime Ray Newman played a major recurring role throughout the season as Rebecca Hamilton, a former girlfriend of Romero.

At the beginning of the first season, a replica of the original Bates Motel set from the film Psycho was built on 272nd Street.

[13] Principal photography for season 4 began on November 30, 2015 in Vancouver and surrounding areas,[14] and concluded on April 6, 2016.

The season holds a 100% positive rating on review aggregator website Rotten Tomatoes, based on 17 responses from television critics.