The You Made Me Realise EP has been very well-received critically.
Spin magazine called the record "astonishing".AllMusic wrote that the EP "made critics stand up and take notice of the brilliant things My Bloody Valentine were up to; it developed some of the stunning guitar sounds that would become the band's trademark, and features tracks which are just as innovative."
During live performances the band would repeat a single chord from the song for as long as they felt bearable, the song descending into cacophony. This is sometimes referred to as the "holocaust section", and usually lasted about 15 minutes, although there are reports of shows where it went on for well over half an hour. For the 2008–09 reunion shows, "You Made Me Realise" brought each show to an ear-splitting conclusion, reaching up to 130 dB.
In 1991, Midway Still covered "You Made Me Realise" on the B-side of their "Wish" single, rather unsuccessfully, as they claimed in Melody Maker, because they could not understand the lyrics, so they made some of them up. It was covered by Silver Sun and released on the CD version of their "Too Much, Too Little, Too Late" single in 1998. "You Made Me Realise" was also covered by Amusement Parks on Fire as a B-side on their 2006 single release "In Flight". BadBadNotGood featured a cover of the song as the closing track on their 2012 album "BBNG2".