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|It's a Mad, Mad, Mad, Mad Marge||
- The episode title is a parody of the movie It's A Mad, Mad, Mad, Mad World.
- The scene where Otto proposes to Becky by radio is a parody of the famous radio scene in the 1989 movie, Say Anything.
- Krusty's interview scene is a spoof of the "Celebrity Interviews" skit on Late Night with Conan O'Brien.
- The episode itself is a parody of The Hand That Rocks the Cradle and it is also mentioned by Patty. Becky's name also appears to be a reference to the star of the movie, Rebecca DeMornay.
- Homer sings his own version of the David Bowie song Changes.
- After Otto leaves Becky at the altar, Homer warns her to take off her wedding dress lest she look crazy. This is a possible reference to Ms. Havisham, the Charles Dickens character.
- One of the kids in the classroom says D'oh when he drops his camera.
- Dr. Zweig (the therapist who helped Marge with her emotional problems) from "Fear of Flying" and Dr. Foster (the therapist who helped Ned with his anger problems from his past) from "Hurricane Neddy" both appear at Marge's insanity hearing.
- This is the second time (first time being in "Mayored to the Mob") in which Homer knocks Marge unconscious.
- The bar Juggernauts, which was mentioned earlier in "Pygmoelian", is mentioned by Kent Brockman in this episode and is seen briefly.
- Becky is briefly seen in The Simpsons Movie: she witnesses Bart naked during his skateboard dare.
- Marge was also impersonated on television in "Marge vs. Singles, Seniors, Childless Couples and Teens and Gays".
- Principal Skinner apparently doesn't know (or he doesn't even mind) that Bart records him going to the bathroom.
- Marge cluelessly thinks that Lisa's vegetarianism is a phase, unaware that she's quit meat cold turkey.
- Otto's parents were also mentioned in "The Otto Show", in which Otto mentions that they don't get along with him and that his dad is an admiral. These facts are acknowledged in this episode.
- The last time Woodstock was seen in flashback occured in "D'oh-in' in the Wind".
- Lenny, Carl, Mr. Burns, Smithers, Sam, Larry, Agnes SKinner, Helen Lovejoy, Miss Hoover, and half the citizens didn't attend Otto's wedding.
- During the scene where Marge's brakes are cut, the following real-life cars can be seen in the segment:
- Acura NSX
- BMW 3-Series
- BMW Z3
- Mercedes-Benz E-Class
- Porsche 911
- Toyota Sienna
- Volkswagen Samba
- Otto doesn't seem to have suffer any burns after being on fire and his clothes stay intact. ( It is possible that network censors would not allow horrible burns to be shown on the show.)
- How did the police know Marge will show up at home?
- In the last scene of the second act, as Marge is being arrested after confronting Becky, Becky isn't wearing lipstick.
- When Mrs. Krabappel's classroom is first seen, the walls are pink instead of green.
- When Marge watches Homer from the window, she is slightly too low down so that she appears to be below the window.
- Patty’s dress sometimes changes from short sleeves to sleeveless, then short sleeves when Marge visits her sisters.
- One of the doctors at the insanity hearing is supposed to be the therapist who helped subdue Ned Flanders when he was an out-of-control child. However, he's drawn as he looked as a young man and Ned was a child, not as he did when Ned was an adult.
- Lisa was voluntarily offering Moe shrimp when he was leaving the wedding. Despite that when she became a vegetarian she tried to stop others from eating meat and even ruining Homer’s barbecue.
- However, in that episode she ended up apologizing for her actions, so she may have decided to respect others' eating habits even if she doesn't approve of them personally.
- As Krusty puts his coffee mug down, the mug disappears for a frame.