On the Zoo TV Tour, it was about Nazism; on the Elevation Tour, it became an indictment against handgun violence, illustrated by references to John Lennon's assassination and an ironic intro video clip featuring Charlton Heston, who was at that time the president of the National Rifle Association.
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On the PopMart Tour, "Bullet" instead led into "Please"; Elevation Tour performances were followed by "With or Without You" or a cover of "What's Going On" by Marvin Gaye, and on the Vertigo Tour, "Miss Sarajevo" replaced "Running to Stand Still" for the last 85 concerts.
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On the Vertigo Tour, it was about religious violence and the final lyrics were replaced by a snippet of "The Hands That Built America".
The cover of U2's "Bullet the Blue Sky" was released as a single, but as a part of their next album, Roorback.
Bono of the band U2 mentions The Old-Time Gospel Hour in the 1988 live version of the song "Bullet the Blue Sky" on the album Rattle and Hum.
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The cover art (photographed by Anton Corbijn), sleeve (designed by Steve Averill), and B-sides ("Bullet the Blue Sky" and "Running to Stand Still") were identical to those used for U2's 1988 single "One Tree Hill", released only in New Zealand and Australia.