At the end of the episode, when Stewie is thinking of a birthday wish - one of Hitler's angry speeches plays in his head. After a lot of complaints it was changed for re-runs to just be bombs exploding.
In his excuse for losing the Cheesie Charlie's reservation, Peter tells a huge lie villainising the establishment, culminating with a quote of Bruce Banner before transforming into The Incredible Hulk. Upon hearing Peter's story, Brian declares him to be "The 'Spalding Gray of crap."
This is the first episode Seth MacFarlane's sister, Rachael MacFarlane guest starred in the episode as the voice of Jennifer. In future episodes she would become a recurring voice actor for the series. Rachel has noted that she was asked by Seth to lend her voice for the show, but she did have to audition for the role.
As with the remaining first four episodes of the season, the title of the episode was derived from 1930s and 1940s radio programs, particularly the radio thriller anthology "Suspense", which featured several elements pertaining to death and murder. This convention was later dropped following the fifth episode of the season, Family Guy: A Hero Sits Next Door (1999) due to individual episodes becoming difficult to identify and distinguish.
The Heaven's Helpers cult is a reference to The Peoples Temple cult which committed mass suicide in 1978 with potassium cyanide-laced Flavor Aid. Heaven's Helpers also has connection to the Heaven's Gate cult, who also committed mass suicide in 1997. Many members of the cult submitted to voluntary castration.