This episode features Cartman singing "In the Ghetto", by Elvis Presley, for the first time.
In this episode, Phillip has cancer. This means that Scott (the guy that T&P referred to as a 'dick' on at least seven occasions in Terrance and Phillip in Not Without My Anus (1998)) was successful when he tried to give them cancer with his mind.
On Stuart's truck in the back window is a clear "Know Fear" decal. This is a play on the various "No Fear" items in record, T-shirt, and novelty stores.
Starting with this episode, every episode of the series is now uncensored on the website and most streaming services.
The picture on the back of the classroom when everyone was absent except Kyle was a picture from Trey Parker's "American History", an animated short he made during college.