The episode was originally titled "All in the Nielsen Family", a reference to both the television show All in the Family and the Nielsen ratings system of judging how many viewers watch a television show in the United States. All in the Family was the number one show in the ratings for five consecutive seasons.
This is the second episode where Peter ruins television and gets into trouble with Quahog. The first was "I Never Met the Dead Man".
Starting with this episode, longtime producer Kara Vallow is credited as an executive producer.
Homer Simpson appears in this episode, and Peter notes that finally Family Guy does a storyline not already done by The Simpsons. He also is voiced by Dan Castellaneta for the first time ever on Family Guy.
Peter gives the Nielsen guy tickets to a Sandra Bernhard show, mocking her gap-tooth.
Tom Tucker has a swastika-shaped birthmark under his moustache. The mark wasn't visible in "Stewie B. Goode".
When Peter is confronted by the angry mob about ruining television, they state the following reasons:
Quagmire says that Peter put a real cougar on Cougar Town that wound up getting torn up by Courteney Cox's teeth and claws.
Seamus says that Peter turned Anderson Cooper 360 into Anderson Cooper 720, making him turn around too much.
Carter says that Peter converted The Biggest Loser into a metric system, making it look like the contestants aren't losing any weight at all.
The uncensored version also has a complaint from Bonnie that Lifetime has become nothing but the rape with no story.
After Peter fixes television, he watches Mike & Molly with Joe and Quagmire.
At the end of the episode, Herbert asks for the titular stars of The Suite Life of Zack and Cody to perform this show in their underwear. The show went off the air four years prior to "Ratings Guy" airing.
This episode is similar to the ALF episode "Prime Time" where the Tanners themselves became a ratings family and ALF himself rigged the system to make his programs more enjoyable.
The men from Bravo do a show about women fighting.
Everyone else makes a talent show.
The uncensored version includes a scene of Peter getting a haircut from Bruce, who shaves a misshapen, deformed penis into the back of his head. When Peter questions it, Bruce runs out crying, noting that some people have had an accident.
Cary Elwes would respond to his lampooning by appearing at the offices of Family Guy the following day with a response letter for Peter.