South Park creators
Trey Parker and
Matt Stone point to this episode as a milestone in the series. The episode introduced significant changes in the characterization of Cartman, setting the standard for his
psychopathic antics in the following seasons; and it also prompted the creators to only focus on one plot within an episode, whereas the show's earlier episodes involved several loosely related
subplots that merged together in the episode's final act. "Scott Tenorman Must Die" was written by Parker, and directed by animation director
Eric Stough.