• Kurt Cobain is credited for writing the song. Steve Albini produced the track for the album 'In Utero'
• The music video was directed by Anton Corbijn and has many controversial scenes including a young girl in a Ku Klux Klan costume reaching for human fetuses on a tree.
• The song's music video won two 1994 MTV Video Music Awards for Best Alternative Video and Best Art Direction.
• The single was released in 1993 and topped the Billboard Modern Rock Tracks chart. It also peaked at #4 on the Billboard Mainstream Rock Tracks chart.
• It is rumored that the 'Heart-Shaped Box' is a reference to a woman's uterus.