Rising capital investment in pharmaceutical manufacturing is pushing projects to unprecedented scale, but execution strategies haven’t fully kept pace. As companies commit billions to new facilities they’re encountering a new set of challenges around planning, coordination, and risk management. What worked for smaller, site-based upgrades is insufficient for multibillion-dollar builds involving thousands of stakeholders, constrained resources, and increasingly complex regional dynamics.

In this episode of Off Script, we spoke with Pathfinder President Steve Cabano and Mark Christopher, vice president and head of the company's pharmaceutical division, about what it takes to successfully deliver mega-scale capital projects in today’s environment. Pathfinder is a project management consulting firm. The conversation explores how the industry’s shift back toward large-scale North American manufacturing is exposing gaps in project controls, contracting strategies, and organizational readiness. They discuss the growing importance of early-stage planning, clearer decision ownership, and construction-driven execution models, as well as how labor competition, permitting hurdles, utility constraints, and global procurement risks are reshaping timelines and cost structures.