The title of the episode parodies the title of the 1988 cult film, "Hell Comes to Frogtown". In the opening scene of the episode, Peter, Joe, Quagmire and Cleveland are shown playing ping pong at the local bar. Once Joe accidentally hits their final ping pong ball out a window, Peter responds by forcing the puppet character Mr. Moose, from the children's television series "Captain Kangaroo", to tell a knock-knock joke. This causes hundreds of ping pong balls to cascade from the ceiling above them. Going on to exclaim the amount of fun he is having, Peter recounts his performance in a Broadway musical version of the 1984 film "Red Dawn".