Also, it always seems to spawn every round no matter what commands are in the CFG

Also just one more thing, I have the mod that outlines fellow traitors, however I'm not sure if this is causing issues as whenever an infected has their claws out they can see where all innocents are

Infected Prime can see where everyone is when they have their claws out. Make sure the commands are in server.cfg and that'll be set for the whole time.