In "Elmo's World" episodes, the audience gets to see into Tickle Me Land. The portal through which this reality may be seen is usually provided by Dorothy's imagination as she visualizes the subject and concepts of the episode. As Elmo is her only real frame of reference, all of the characters in her visions are an altered version of Elmo — even the animals. Sometimes a simple alteration is made to a "regular" Elmo puppet; however many times (in the case of most animals), a new puppet is created to morph the characteristics of Elmo and the creature.
- See also: Elmo's Alternate Identities