American Dad Wikia
  • The title references 'purity balls' in which young adults vow to stay virgins until marriage. The phrase 'ball and chain' is a colloquialism for one's spouse.
  • The song that Fab-Stinence sings is a parody of DMX's "Ruff Ryders' Anthem".
  • Steve's reprogramming at Sex Aversion Therapy Camp is a parody of A Clockwork Orange in which violent gang member Alex is reprogrammed against violence with images set to classical music, namely the "Ode to Joy" from Beethoven's 9th symphony.

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