Yes, the DVD is playable on American players, but no, it is not 45 min. like the other reviewer said, more like 25 min. and the two live performances are lipsynced, but that's ok because I don't think Meat sounds good live. Spectacular collection. Well worth the money especially for the bonus tracks, two by Lennon/McCartney and one by Rodgers & Hammerstein. Correction: it says that "Is Nothing Sacred" is the full version, but this is incorrect. It's actually the longer single edit. The full studio version is about a minute longer and can be found on "The Very Best Of Meat Loaf," but without Patti Russo. The booklet is pretty dense which is good. Long story short, this edition is a MUST for Meat fans.
FYI: This edition was on the UK iTunes store for a few days then it was taken down. Hope everything's ok legally.