For The MDNA Tour of 2012, "Hung Up" was added to the setlist as part of the opening segment, known as "Transgression". After performing a fragment of "Papa Don't Preach", several dancers wearing tribal masks, surrounded Madonna, tied her up and proceeded to carry her to the center of the main stage just as the song's opening riffs, underpinned by the dramatic sound of church bells with vocoder vocals, started to play in the background. Dressed in a black skintight outfit with an ample cleavage, gloves of the same color and heeled boots, Madonna and her dancers performed the song while at the same time slacklining on some ropes held on the middle of the stage. As Madonna sang the song, her dancers slid under the ropes. This performance received generally mixed reviews, Jon Pareles from "The New York Times" believed that changing the composition of the song in lieu of the theme for the segment made it "ominous and obsessive", while making it "a memory of distant innocence". Jim Farber from the "Daily News" felt that the introduction of slacklining gave the whole tour "some needed bounce". Sal Cinquemani from Slant Magazine was negative on his review of the performance, as he felt it was out of place on the show's segment, and compared it negatively to the performance of the Sticky & Sweet Tour, concluding that the song "should never be performed in any way other than its original form." The performance of the song at the November 19–20, 2012 shows in Miami, at the American Airlines Arena, were recorded and released in Madonna's fourth live album, "MDNA World Tour".