On stage, both Billy Gibbons and Dusty Hill donned several costumes they designed, including rhinestone-embellished serapes, jackets, and oversized cowboy hats.

In contrast to other ZZ Top tours, each of the Beer Drinkers and Hell Raisers shows opened with four to ten consecutive older songs before newer material was played.

Consisting of five legs and 137 shows, the tour began in Bossier City, Louisiana on April 25, 2003 and ended in Las Vegas, Nevada on September 25, 2004.

The band's compilation albums, Chrome, Smoke & BBQ and Rancho Texicano, were released during breaks in the tour, and most of their songs were incorporated into the main set.

Critics held the Beer Drinkers and Hell Raisers Tour in high regard—in the Worcester Telegram & Gazette, Scott McLennan described the show as "a joyride".