Scream: Music from the Dimension Motion Picture is the original soundtrack to the film released on December 17, 1996, by TVT Records.

The acoustic cover of Blue Öyster Cult's "Don't Fear the Reaper", performed by Gus Black, is plays softly in the background while Sidney and Billy discuss their relationship.

The original song was featured in the soundtrack to John Carpenter's Halloween, a film to which Scream makes repeated homage.

[5]The song "Red Right Hand" by Nick Cave and the Bad Seeds, heard in the first film, is also used in the forthcoming instalments (excluding Scream 4).

[7][8] Some reviewers felt the restricted runtime was a result of the high cost of releasing a composer's music commercially, combined with Varèse Sarabande's unwillingness to pay.

[15] James Southall of Movie Wave commented that the score is "less likely to become one of Beltrami's finest scores" but "one of his most important, considering the impact it had on his career", writing "There are certainly some wonderful aspects to it, it’s fascinating to hear the early development of ideas which would become trademarks of the composer, and indeed it’s impressive to hear the scale of music he was able to write on such a small budget.