"Playground Twist" has a 3/4 time signature which is unusual for rock and roll music. The pacing of the song gives a childlike (i.e. "playground") feel (along with references to childhood nursery rhymes), although the lyrics provide a much more sinister picture. The single became Siouxsie and the Banshees' third top 40 hit, peaking at number 28 in the UK singles chart.
The B-side, "Pulled to Bits", was released as part of the Downside Up compilation. A live version was included on the 1983 Nocturne live album and DVD.