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The Beautiful People was filmed in the abandoned Goodenham and Worts distillery in Toronto and depicts the band performing the song in a classroom-like area decorated with medical prostheses and laboratory equipment. Intercut with these performance clips are scenes of lead singer Marilyn Manson in a long gown-like costume and aviator goggles, wearing stilts and prosthetic makeup which make him appear bald and grotesquely tall; after being placed in this costume by similarly-attired attendants, he appears to a cheering crowd through a window in a scene reminiscent of a fascist rally, and later stands in the center of a circle while people crowd around him riot. Other fast cut scenes include extreme close-ups of crawling earthworms, mannequin heads and hands, and the boots of people marching; and shots of the individual band members bizarrely costumed, including Manson in black and neck braces and an apparent dental device which pulls the flesh of his mouth with hooks, exposing metallic teeth.
The video premiered on MTV on September 22, 1996 and was nominated for two 1997 MTV Video Music Awards: Best Rock Video and Best Special Effects.