This episode was directed by Tom McLoughlin, who also directed Friday the 13th Part VI - Jason Lives, and starred Lar Park Lincoln who played Tina in Friday the 13th Part VII - The New Blood.
The patient M. Schreck is an obvious nod to the German actor Max Schreck, most famous for portraying Count Orlof in the original Nosferatu.
Dr. Serling is a nod to Rod Serling, television host of "The Twilight Zone" and "Night Gallery".
John Cameron Mitchell that plays the lead would many years later be known as Hedwig, in the fantastic rock musical - Hedwig and the Angry Inch (2001)