- Fanon: A popular bit of fanon regarding this short is that it's a direct prequel to the series—Billy's trepanation is what ended up making him stupid, while Mandy, in a rare show of remorse, never smiled again and became considerably less sociable.
- Nightmare Fuel: The short film is surprisingly unsettling. It's a jarring departure from the cartoonishness of Maxwell's later work, with a very creepy atmosphere.
http://tvtropes.org/pmwiki/pmwiki.php/YMMV/BillyAndMandyInTrepanationOfTheSkullAndYou
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