This song is about an old girlfriend of Brantley Gilbert's. He explained to KNUE 101.5 FM: "It's about the way she kinda kept me straight when I was a hell-raiser and had been for a long time. She helped me kinda get it all together. She was always good for me."
The same girl also inspired another track on the deluxe edition of Halfway To Heaven, "More Than Miles."
Mike Campbell from Tom Petty & the Heartbreakers played the slide guitar on "Sixth Avenue Heartache." There is a connection here - Wallflowers lead singer Jakob's dad, Bob Dylan, played with Tom Petty in The Traveling Wilburys.