Series creator and writer of this episode, Jesse Armstrong, named the 1960, 2000, and 2016 U.S. presidential elections - all historically close races - as points of inspiration for crafting the episode, aiming to illustrate the characters' "different political instincts [and] corporate interests colliding in this very direct way."
Episode director, Andrij Parekh, recalled that the table read for the series' pilot episode was conducted on the day of Donald Trump's victory in the 2016 election, describing it as "a good place to start in terms of the reality check of it all" for "America Decides".
The episode features appearances by numerous real-life journalists as ATN anchors, such as Tom Nichols, Dave Briggs, David Kerley, Sharla McBride and Kelly Nash, the latter two having recurred on the series since the first two seasons.
The title of this episode has been teased in the opening credit sequence since season four's premiere, "The Munsters (2023)".