Are high ceiling tests designed differently from standard tests?

I have taken both standard IQ tests and higher ceiling ones, and they felt noticeably different. The easier items were similar, but the upper end felt much more abstract and layered. It made me curious about whether the design philosophy actually changes or if it is just more of the same at higher difficulty.

Do high ceiling tests rely on different kinds of reasoning, or do they just extend the range with harder versions of familiar tasks? Are they harder to design because they need to separate people at the very top without breaking the structure of the test?

High ceiling tests do not fundamentally change the reasoning types, but the item design gets way more sophisticated. At the top end, you are dealing with multiple layers of abstraction, nested rules, and problems that require holding more information in working memory simultaneously. The difficulty is not just harder versions of the same thing. It is about adding complexity that only becomes solvable with exceptional processing capacity. Designing them is brutally hard because you need items that discriminate at the tail without becoming unsolvable noise.