A filmed version of the show was directed by Jeff Garlin, recorded at the Harry DeJour Playhouse in New York City in 2006, and released later that year by Red Envelope Entertainment.

[1] Waters has performed a speaking engagement under the title This Filthy World since around 2003, though he frequently updates it to include new anecdotes and references to current events; in 2013, he said that "maybe 2%" of the show's material at that point was the same as the version featured in the film.

The filmmaker talks for an hour and a half about different subjects that made him into who he is today while standing on a stage decorated with a pile of trash, some roses, and a confessional.

He discusses sexual fetishes, court trials he has visited, how to make books cool again, and more.

This Filthy World received positive reviews, currently holding an 92% "fresh" rating on Rotten Tomatoes.