MTV refused to show the full video, as it ends with an apparent murder. MuchMusic was given a revised version for its channel. Kozik said that the video was censored because it was "too heavy" for MTV. He added, "They got a dead girl in that lame Stabbing Westward video so I don't understand their problem." An alternate international version of the music video for "Pretty Noose" was released. This version was directed by Henry Shepherd (bass guitarist Ben Shepherd's brother), who had previously co-directed the "My Wave" music video for the band.
Director Frank Kozik had previously been known for his work on posters and album art.