Robin Weigert received an Emmy nomination for Outstanding Supporting Actress in a Drama Series for her work in this episode and Deep Water (2004).
Brad Dourif received an Emmy nomination for Outstanding Supporting Actor in a Drama Series for his work in this episode and Deep Water (2004).
Reverend Smith is displaying symptoms of 'Cotard Syndrome', where sufferers believe themselves dead, may smell "the odor of the grave" coming from their own body, and may even believe that they can see the flesh rotting off their bones, even though most sufferers are in perfect physical health (but in Smith's case, he seems to have the syndrome in conjunction with other mental and physiological issues).