In 2016, an announcement video was released in the autumn of 2016, describing a film entitled Double Trouble, that would tell the story of Randy's son, Junior, discovering that his life has run parallel to the plot of the abandoned Vileness Fats project. Over the next few years The Residents worked on the film, with tops and starts due to their touring schedule and other unforeseen impediments such as the Covid-19 pandemic.

The completed film, now bearing the title Triple Trouble, premiered at the Chicago Underground Film Festival in July of 2022. It follows Junior, a former priest turned plumber, who discovers a mysterious fungus in the pipes of San Francisco. His investigation also leads him to reevaluate his past relationships, including coming to terms with the memory of his father, the Residents singer Randy Rose. Triple Trouble stars Dustin York as Junior, Gerri Lawlor as Junior's Mom, Isabelle Ellingson as Suzi, and Isabelle Barbier as the voice of Cherry.

An accompanying soundtrack album, produced by The Residents and Eric Drew Feldman, consists of collages of new music, film dialogue, and some familiar themes. In addition to the standard CD release, Psychofon produced vinyl editions, including a special zoetrope version.