Segal is a "shock jock", who is fond of toilet humor, gross-out jokes, and oddball stunts, which have comprised a large portion of material on his show, in addition to discussing current events, entertainment, politics, sports, and crime stories. His trademark is a loud, maniacal laugh. He frequently uses catchphrases, each with its own colorful origins, such as "Smell My Face!" and "Smell It Good". Segal is also well known for situational tendencies; an example being when callers say "I have to go" or "head to work", Elliot responds, "So do I." He also tends to interrupt callers that annoy him depending on his mood. In these cases, if the caller becomes angry, Elliot isn't against a fight on the air. Often during episodes, Elliot can be found poking fun at his show co-hosts and starting arguments with callers just to get a reaction. While most of his critics dismiss him as a shock jock, those familiar with Segal know that in addition to being crude and silly, he can also be very serious and conduct intelligent and insightful interviews. He is also involved with many local charities including 'Olie & Elliot's Great Saves' with former Washington Capitals goalie, Olaf Kölzig, and the National Center for Missing and Exploited Children. He also features weekly interviews with America's Most Wanted producer, Donna Brant, to highlight specific cases from around the country, and has three captures attributed to these segments. He also talks semi-regularly with John Walsh and has even appeared in a re-enactment on the show. In addition to these things, once upon finding out that the video game unit had been stolen by a parent from the children's ward of the hospital he was in with his son in 2006, Segal arranged for several new & used video game systems to be donated to the hospital via local merchants and listeners of his radio show. WOR canceled Segal's show on February 18, 2014 after just one month on the air.
During the May 7, 2002 Elliot in the Morning show, two sixteen-year-old female students at Bishop Denis J. O'Connell High School called the show to be considered in a contest whose winners were to be cage dancers at an upcoming Kid Rock concert at George Mason University's Patriot Center. Goaded by Segal, they discussed alleged sexual activity at school. The students, who claimed to be eighteen, discussed giving oral sex to lines of boys in the hallway and having intercourse in stairwells and closets. They implied these acts occurred during a typical school day. The students, who had used false names on air, were suspended the same day for their comments. The principal addressed the student body on the PA system and discussed the immorality of Segal's radio show. Angered by the students' suspension, Segal personally insulted the principal on air the following day, making lewd remarks about his family and his sexual activity. He also mocked the school's mission statement, specifically what he considered to be a hypocritical statement that their educational environment is "rooted in the life of Christ." The two days of broadcasting were ruled indecent by the Federal Communications Commission. In October 2003, DC101's parent company Clear Channel Communications was fined $55,000 as a result.