At the 2009 American Music Awards, the guitar riff from "Smells Like Teen Spirit" by Nirvana was played after the performance of this song.
Many critics linked the novel to the popularity of grunge and alternative rock, but it makes no reference to grunge, and the song that is widely credited for boosting grunge into mainstream popularity (Nirvana's "Smells Like Teen Spirit") was released after the novel's publication.
"Aneurysm" and "Even in His Youth", two Nirvana originals produced and engineered by Craig Montgomery, also appear as b-sides on the "Smells Like Teen Spirit" single.
At Noon on December 28, 2009, KQLL-FM relaunched as 1990s Hits 106.1 Gen-X Radio with the first song "Smells Like Teen Spirit" by Nirvana.
Hogthrob appears in several scenes in the background and gets a moment in the spotlight as part of a barbershop quartet, singing "Smells Like Teen Spirit".
On September 27, 2011, X103 released a tribute album to Nirvana titled Forevermind, which features a cover of "Smells Like Teen Spirit" by Noctura.
On the CD version there is a sample of the song "Smells Like Teen Spirit" (the first song on The Crybaby) after "Prig" and some digital silence.
It is rumored that the original bootleg recording of "Eighteen Strings" contained a sample of the riff from "Smells Like Teen Spirit" by Nirvana, and that the usage of the sample was disallowed, therefore the guitar riff in "Eighteen Strings" was reproduced for commercial release.
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At 10AM on the 13th, WKPO's new format was unveiled: album-oriented rock as "105.9 The Hog," promising "Everything that rocks, not just from one decade." "You Shook Me All Night Long" by AC/DC and "Smells Like Teen Spirit" by Nirvana were the first two songs played on the new "105-9 The Hog."