It began life as the fourth and final play in the God's Country series of linked radio dramas broadcast in 1997 on BBC Radio 4. However, due to its success (it went on to sell thousands of copies on cassette) it has come to overshadow the other plays in the sequence somewhat, and is commonly thought of as a standalone piece.
Spoken by a 7 year old autistic girl who is dying from cancer, the original recording was performed by Becky Simpson who won two awards for her performance . The play was subsequently published as part of the anthology Spoonface Steinberg and Other Plays in October 1997.
A stage version, adapted by Hall himself as well the play's directors Marcello Magni and Annie Castledine, was first performed in 2000. The play featured Kathryn Hunter, at the time 42 years of age, in the title role.
The play has also been produced by the Nuffield Theatre Southampton, directed by Russ Tunney, starring Julie Rose Smith as Spoonface.
The Scottish professional premiere was produced by Nomad at the Tron Theatre in 2002. Kirstin McLean played Spoonface and Mark Westbrook directed.