Automation sending 2 emails instead of 1 and now its sending 4

Please help

I have an automation for a level 2 and 3 release. when level 2 occurs it must first send an approve/decline to the admin director and then once they approve it goes to the medical director but every time the medical director gets 2 emails with a slightly different note message but all the rest is the same. On top of that i tried to separate the requirements for it to send the email and now its sending 4. please help!!!

Mike TV

@Please help

You can test the automation and have it send you the notification instead. What happens when you do that? Do you get 2-4 notifications? Can we see an example of the notification and can we see the setup of the automation?