On July 8, 2010, the episode's song entitled "Down Syndrome Girl" was nominated for a Primetime Emmy Award for Outstanding Music and Lyrics at the 62nd Primetime Emmy Awards. Series creator Seth MacFarlane and composer Walter Murphy were nominated for their work on the song's lyrics and music. On July 24, 2010, MacFarlane gave a live performance of the song at the 2010 San Diego Comic-Con International, to an audience of nearly 4,200 attendees. At the Creative Arts Awards on August 21, 2010, "Down Syndrome Girl" lost to the USA Network series "Monk".