Lois gets him released, but after a childhood flashback induced by Peter, Patrick becomes traumatized and starts murdering overweight people.
[2] The episode was written by Chris Sheridan and directed by Sarah Frost,[3] whilst guest stars were Bob Barker, Dave Boat, Max Burkholder, Barclay DeVeau, Robert Downey Jr., Margaret Easley, Kim Parks, Will Sasso, Anne-Michelle Seiler and Tara Strong.
She telephones her father Carter, who tells her she does not have a brother and quickly terminates the call, but she persists: she breaks into her parents' house.
She finally learns that her brother Patrick has been living in a mental hospital for decades, ever since he suffered a nervous breakdown as a young child, upon walking in on his mother having an affair with Jackie Gleason.
Peter hosts the first meeting of the association, but it is unsuccessful due to those attending making too much noise, such as breathing heavily, passing gas, and munching junk food the entire way through.
Lois continues to make exaggerated excuses, still wanting to believe her brother is a nice person, but ultimately she snaps out of her denial and realizes that Patrick is a threat.
The episode's premise (a pleasant uncle revealed to be a strangler) is similar to that of Alfred Hitchcock's film Shadow of a Doubt.
[citation needed] Brian makes a reference to season-three Family Guy episode "To Love and Die in Dixie".
[4] The cavemen who "invented singing" initially grunt "Mary Had A Little Lamb" before quickly evolving into an a cappella version of Billy Joel's "The Longest Time."
"[4] Several jokes had been pitched for Peter's words after killing an evil dragon, but all were dropped, as they weren't deemed funny enough by production staff.
[5] The music song by the overweight people at a funeral for a murdered obese man was only shown on the DVD version and not televised, for timing purposes,[6] and for potential boredom to viewers.
"[8] Basile moves on to comment that "Being prejudiced against fat people just isn't talked about, but this episode sheds a harsh light on that problem.