Voices Carry was filmed at Dorchester's Strand Theater, in Boston, and includes dialogue. The plot centers around the band's lead singer, Aimee Mann, who appears as a musician with a violent boyfriend, played by actor Cully Holland. He mistreats her for playing in a rock band, and demands that she change her look to fit in his upper-class lifestyle. At the end she lashes out at him during a concert at Carnegie Hall as she stands up from her seat in the audience and yells the lyrics.
At the 1985 MTV Video Music Awards, the band won the award for Best New Artist in a video. That same year, at the American Video Awards, Mann was named the Best Female Performer in a video.