The music video for "Gives You Hell" was directed by Marc Webb and shot in October 2008 in California and was released a month later on November 3. It revolves around two alter egos of lead singer and bassist Tyson Ritter - one as a traditional family man and the other as a lay-about nocturnal garage band singer (the band of which is made up of the other members of The All-American Rejects) - as neighbors annoying and pulling pranks on each other due to their different lifestyles and behaviors, while scenes of the band themselves performing the song as the garage band are overlapped through the video.
A second version was later released in January 2009, primarily featuring an extended version of the performance scene from the first.
In an interview with MTV about the video, Ritter said "The video basically pits one neighbor against another terrible neighbor, who lives on a completely opposite schedule. He's not on the grid - he's not on, like the song says, 'a 9-to-5 pace.' And this guy's living the cookie-cutter life, with his white picket fence, and his wife who brings him lemonade when he's washing the car, So it's kind of like the clash of those worlds; only at the end, there's kind of a twist, where the two worlds kind of flip-flop.