Similar to the original, the series features puppet caricatures of contemporary celebrities, such as Adele, James Corden, and Kanye West, as well as public figures, including British Prime Minister Boris Johnson, several Conservative cabinet members such as Michael Gove, Dominic Raab and Priti Patel, and US President Donald Trump.

ITV had plans for a reboot in 2006, but these were scrapped after a dispute over the Ant & Dec puppets used to host Best Ever Spitting Image, which were created against Law's wishes.

[23] In September 2019, the show was confirmed to be returning to screens twenty-three years after it originally ended, with the unveiling of the puppets of Trump, Vladimir Putin, Mark Zuckerberg, Prince Harry and Meghan Markle.

[25] The writers for the revival include Jeff Westbrook, Al Murray, The Windsors creators Bert Tyler-Moore and George Jeffrie, Bill Odenkirk, David X. Cohen, Jason Hazeley, Keisha Zollar, Patric Verrone, Phil Wang, and Sophie Duker.

[32] Mark Lawson of The Guardian wrote approvingly in his four-out-of-five star review that "[a]dmirers of the franchise will be relieved that the revival ... has lost none of its savagery or willingness to shock.

"[34] The Economist was more mixed in their analysis, calling it "pretty tame" in light of the current political atmosphere and when compared to its 1984 predecessor, writing how "[i]n an era of cynicism and conspiracy theories, the radical act would be to make a show that celebrated public life.

The German version has new puppets, including Sebastian Kurz, Jan Böhmermann, Annalena Baerbock, Karl Lauterbach, Markus Lanz, Heidi Klum, Thomas Müller, Olaf Scholz, Barbara Schöneberger, Armin Laschet, and Adolf Hitler.

[38][39] A stage show titled Idiots Assemble: Spitting Image The Musical opened at the Birmingham Repertory Theatre on 1 February 2023 and ran until 12 March.