For a video game designer (especially Frictional Games), I think that it would be a good idea to make the exit menu not pause, because too many people use it to feel safe. I've seen too many let's players pause Amnesia out of fear just to take a break.. No.. They should find a room in the game that makes them feel safe, not the exit screen. Instead they should just put the options in the corner of the screen and not pause the game.
Idk though.. Some people just want a pause menu so they can simply take a piss without quitting the game and that makes sense. Tell me you think.