The title is based on the term "Stark Raving Mad" meaning to be incredibly crazy.
The show makes a reference to AFV.
Fans have criticized the beginning of the episode, as it is the ONLY episode in which Lenny and Carl don't wear their normal shirt colors. Further ridicule comes from the fact Carl normally wears a pink shirt.
This is the first episode of the series to be a leftover from the past season as this episode was originally going to be the second season finale, but was pushed to the third season due to FOX's broadcasting reasons.
Mr. Burns' being out of touch with reality is shown again, with him overthinking a man wearing a different colored shirt to work meant that he was a radical thinker.
In a rare occurrence, this episode was re-aired in prime time following Michael Jackson's death.
Due to concerns about crediting, Michael Jackson used the alter ego "John Jay Smith" in the credits, similar to Dustin Hoffman. After the airing of this episode, the producers agreed to impose a policy that psuedonyms were disallowed for all future guest stars. The policy also applied to the regular cast, saying that from now on their real names must be used in the credits, which had been done in earlier episodes by some voice actors to skirt SAG regulations on crediting, such as Marcia Wallace, who intentionally misspelled her name as "Masha Wallace" in "Bart the Genius" to avoid double crediting for the gifted school teacher in addition to her usual role of Mrs. Krabappel.
This episode originally was supposed to have a sequel, in which Leon Kompowsky (the mental patient who thought he was Michael Jackson) now thinks he is Prince and encourages the town to be free and open with their sexual lives. Prince (who died in 2016) declined the chance to appear on the show, making this sequel the only episode that has been written but never produced (though the idea of someone encouraging the town to be free and open with their lives would come about in later seasons).
Recycled animation of Bart sleeping from Bart Gets an "F" is used at the beginning of Act 1 when Lisa wakes him up and reminds him about her birthday. This is the first Season 3 episode to use recycled animation.
This episode was the first to be produced and aired in Dolby Surround.
One of the comedic home videos Homer watches is apparently titled "Baby with a Nail Gun." Ironically, Maggie would later have a nail gun in Bye Bye Nerdie.
The January 1992 rerun of this episode contained a cold opening before the opening sequence in response to George Bush's comments during his re-election campaign that he wished "to make American families a lot more like the Waltons and a lot less like the Simpsons". In the brief scene, the Simpsons watch Bush's speech over dinner, and Bart states "Hey, we're just like the Waltons. We're praying for an end to the depression too."
Lisa turns 8 years old in this episode (She used to be 7 years old for the first two seasons, and for the first 35 episodes of the show), and has been that age since this episode.
Thus far this is the only episode with Kearney Zzyzwicz in which Jimbo or Dolph have not also appeared.
On March 7, 2019, the episode was removed from circulation and banned after the release of the HBO documentary Leaving Neverland due to some new, alleged pedophilia allegations of child sexual assault against Michael Jackson. Producer James Brooks remarked on the censorship "We have a lot of fond memories of working on that episode; and the recent documentary did not permit said memories to remain. I am against book burning of any kind. But this is our book, and we are allowed to cut out a chapter."
This is also the only episode to not be on Disney+ as a result.
Though, on October 5, 2019, the episode was briefly brought back in syndication on FXX.
Fans of this episode have expressed their dissatisfaction with the show's decision to pull the episode through a "denial meme" which parodied "Marge vs. the Monorail". In it, Marge is in North Haverbrook, where she sees a traumatized woman tell her "Go away! There ain't no Michael Jackson episode and there never was!". The woman then slams her window shut, revealing a painted image of Leon Klumpowski. The original image was about the "Monorail Cafe".