Silent All These Years features Amos rolling inside a box, the image which is most often associated with the video. Other clips include impersonal shots of objects such as false breasts on a clothes hanger and flowing honey, which Palmano describes as having "a modern look, very clean." The video approaches a climax with shots of Amos twirling against an uneven surface, created by using a corner of a room painted such a crisp white that it's hard to tell that the wall is even there at all. For the final seconds, Amos's face fills the frame as she simply sings to the camera.
The video was nominated for Breakthrough Video, Best Cinematography, and Best Female Video at the MTV Video Music Awards in 1992. Rolling Stone magazine lists this video at #98 of the 100 greatest videos of all time.