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Trivia
- Reflecting the fact one of the episodes is about Cosmo having problems to control his transformations, this time we have a Cosmo head gag instead of a Vicky head gag. Cosmo's head was turned into Vicky's.
- The events that happened in That Old Black Magic was mentioned in the episode a few times.
Allusions
- There are several allusions to the 1991 movie "Silence of the Lambs":
- When Timmy, Wanda, Cosmo go to prison to talk to Anti-Cosmo, he calls Wanda "Clarice" just like Hannibal Lecter.
- At the end of this episode, Anti-Cosmo says through the cell phone: "Don't look for me", just like Hannibal Lecter did at the end of the movie.
- Jail: The Unhappiest Place Off Earth - This is a parody of Disneyland's slogan, "The Happiest Place On Earth".
Running Gags
- Cosmo tries to kiss Wanda but keeps on changing into a fork, causing him to prick Wanda.
- Cosmo turning into different and sometimes incorrect things throughout the episode until the transplant.
- People calling Cosmo an ignorant boob.
- People making notes on something screaming like face cake.
- Dr. Rip Studwell saying good news and bad news to the group. (for the final time he said he had worse news and horrible news)
Goofs
- It is unexplained in this episode how Timmy can see the Anti-Fairies because in That Old Black Magic he has to see the Anti-fairies with special goggles but in this episode he doesn't and it is before Jorgen made it so humans could see Anti-Fairies in When Nerds Collide. It is possible that the anti-magic suits that the Anti-Fairies wore prevented them from being invisible.
- The last time Cosmo pricked Wanda by turning into a fork (on purpose), when he poofs back to himself, Wanda's cheek is bigger than him.
- When at the doctor's office, Dr. Rip Studwell told Cosmo that the only way to fix his fagiggly gland was to have a fagiggly gland transplant. Wanda said that Cosmo is an only child, but it's revealed later Cosmo has a brother named Schnozmo. However this might be because Schnozmo wasn't created yet at that point in the series.
- Near the end of episode, Anti-Cosmo is flying in his prison costume. This costume doesn't allow fairies and anti-fairies for float!
- Despite being pierced through by a pitchfork, the laundry basket doesn't leave a hole.
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