Ow, my sanity features a ridiculous number Shout Outs, many to H. P. Lovecraft and things related to his works.
- The webcomic name itself is a reference to Ah! My Goddess, and riffs on its central plot.
- Some of the many Lovecraft references include:
- Nice statues you've got there.
- Mmm...let's buy a shirt with the mark of Hastur on it. Maybe someone will say its name three times.
- David knows better than to buy a house in Dunwich. Smart man.
- Let's go see The King in Yellow: a comedy in four parts.
- Dave and Nancy's new house previously belonged to William Dyer.
- The Elder Things who wonder how Dave got into Phase Space mention how he reminds them of Randolph Carter.
- Most people David knows have the last names of Lovecraft characters. Nobody called West yet, though.
- Shubby's caution directly references "Silence in the Library" and "Forest of the Dead".
- The two Elder Things discuss Shubby by quoting lyrics from "Six Gun Gorgon Dynamo", a song by The Darkest of the Hillside Thickets about Shub-Niggurath.
- Along with the Ah! My Goddess reference, the comic's name is a nod to Sanity being a statistic in the Call of Cthulhu RPG, which Delta Green is a campaign setting for.
- This strip likely foreshadows Karotechia involvement in the series as well. Karotechia, a faction in Delta Green, is the bare remnants of Hitler's occult program hiding out in South America.
- See that girl? She's a Shoggoth. "Sooo cooool" is their Catchphrase in The Unspeakable Vault (of Doom).