The accompanying music video was directed by Don Letts and produced by Nick Verden for Radar Films.

"Summer in Siam" was originally played by MacGowan to the rest of the band on a Casio synthesiser.

While the final arrangement was greatly modified from the original demo, it reflected MacGowan's growing interest in acid-house music.

[1] MacGowan claimed in 2022 that along with "Lorca's Novena" and "Hot Dogs With Everything", "Summer in Siam" is one of his favourite songs by The Pogues.

He deemed it to be a "woozy, lysergic, euphoric lounge-jazz reverie" and added: "Initially the band hated it, but it became one of their most unusual hit singles.