The episode was nominated for the 2003 Golden Reel Award for Best Sound Editing in Television Animation - Music.
Large Marge was a character from the movie Pee-wee's Big Adventure.
Homer (unseen, but implied to be him) draws the family on the couch with an Etch-a-Sketch (called a "Sketch-A-Etch" in the couch gag) and yells, "Whoo-hoo!" when he's done.
Former U.S. Presidents Jimmy Carter, Bill Clinton, and George H. W. Bush (who parody The Three Stooges). Sentence fragments.
This is the second time Adam West was on the Simpsons; the first time was Mr Plow in 1992.