The episode was written by Kirker Butler and directed by Dan Povenmire. It received mostly positive reviews from critics for its storyline and entertaining cultural references. It was viewed by 9.66 million viewers in its original airing. The episode featured guest performances by Dave Boat, Carrie Fisher, Phil LaMarr, Rachael MacFarlane, and Fred Tatasciore, along with several recurring guest voice actors for the series. "Hell Comes to Quahog" was released on DVD along with twelve other episodes from the season on September 18, 2007.