Continuity: Chef's car outside Hells Pass Hospital is almost covered in snow the first time it is seen. However a car seen sitting outside the America's Most Wanted studio in South Park a few minutes later has no snow on it whatsoever.

Other: When Mackey's eyes are pink, so are his glasses.

Factual error: When Mr. Mackey, Principal Victoria, and Nurse Gollum are eating dinner with the Broslofskis, notice pork on the table. Since the Broslofskis are practicing Jews, they would have not allowed unclean food (such as pork) in their home.

Continuity: When the town has a Conjoined Twin Myslexia Parade, and Nurse Gollum is walking; you see her right hand down as she walks, and no people in the background. Then the shot changes, and you see her right hand up waving, and people where there weren't any before.

Continuity: When the bus starts to rock, just after Cartman has recalled the Fonzie story, the background turns from day to night in a split second.

Continuity: In the scene where the Cartman family and boys are seated at table, Kenny sits between Kyle and Great-Grandma. But a few shots later Kyle has to hold Great-Grandma's catheter bag, as he is now sitting next to her, and Kenny is no longer between them. However he's back between them again when the camera shows the whole table.