|The Real Slim Shady features Eminem performing the song in a psychiatric ward, a local Detroit neighborhood nearside a park, a fast-food joint, the Grammy Awards, and even in a factory where multiple clones of the rapper are produced. The video also features cameo appearances by Dr. Dre, D12, a lookalike of Kid Rock, Fred Durst, a lookalike of Carson Daly, Kathy Griffin, lookalikes of Pamela Anderson and Tommy Lee, and even a stuffed Bill the Cat doll can also be seen being held in possession by one of the mental patients in the hospital scenes.
The video also features Eminem dressed in the same superhero costume used by Tom Green in the "Lonely Swedish" video chasing a boy band, taking one of its members down to the ground and putting 'his bum on the man's lips.' The costume can be seen later in the "Without Me" music video following the release of The Eminem Show.
In the uncensored version of the music video, the fat man in underwear wears a ball gag; in the censored version, he does not. The edited version also does not show Eminem raising his middle fingers; instead, he points at the camera. Charli XCX's "1999" video parodies the video.