Ariana wrote this song with The Rascals, Antonio Dixon and Kenneth "Babyface" Edmonds. Her inspiration was a tattoo that she'd just got on her toe in a shape of a heart.
Country star Ronnie Dunn covered "Tattooed Heart" for the title track of his 2016 album, re-imagining it as a country song. It was the Nashville star's daughter who suggested the song choice while she was interning at the publishing arm of Big Machine Label Group. Unsure at first, Dunn recorded his version in secret. "I didn't tell anybody I was cutting it. I just snuck back and did it," he admitted to Billboard magazine. "I thought I'd crash and burn on my own without anybody hearing it.