we have done that... i would venture to guess its option 2 and this guy is a straight douche bag with literally NO LIFE whatsoever... hes a psycho... i mean, he fucking made two accounts and was acting like he was talking to the other... thats way past psychotic shitThe psycho could be more crafty than you think. It is very easy for them to set up a macro that automatically creates new accounts at the flip of a switch even if this psycho troll nurse is sleeping in his bed or shopping at the store the he can set up a bot to be doing his dirty work for him.
Or he could be a total fucking moron that has no life and is doing all this shit manually.
Just a tip...maybe increase the security on the account creation page?