One of the randomized scares has lighting mysteriously falling from the sky, a nod to The Truman Show.
Several lines read by Sammy the Surly Salmon are parodies of Duke Nukem quotes, which themselves were parodies of famous action movie lines featured in They Live and Army of Darkness.
Happy's Humble Burger Farm is a sequel to Happy's Humble Burger Barn, taking place several years later.
The door to Toe's room says "Don't Open - Sleep Inside" in a fashion similar to "Don't Open - Dead Inside"
The game takes place in the "Scythe Saga Universe," which also includes the Northbury Grove games, a series of concept albums and compilations from Scythe Saga Records, and other multi-media.