Guest stars Adam Sandle's wife, Jackie Sandler, as the wife of Carrie's boss.
When Doug sees the buses with the burger and smokehouse ads, there is a brief shot showing the Pacific Alliance Medical College in Los Angeles (now closed) reflecting the true shooting location at the corner of College and Yale. However, the Yale St sign has been replaced with a sign that says "Heineman St". The set decorator for "The King of Queens" is Scott Heineman, who apparently had that sign placed there as an inside joke.
Title is a take on Offensive Foul, which is a sports term.