The song's music video combines a gut-wrenching storyline with artistic cinematography. Cam revealed to Taste of Country
that the inspiration behind the clip was Kendrick Lamar, who is known for his eye-catching visuals. Cam's manager, Lindsay Marias, is good friends with Lamar's manager, and a meeting was set up between the pair so the rapper could tell her about the process. Lamar assured her that the skill didn't come immediately. "He was just like, 'Go back and look at the early videos, they weren't good and we got better.'"
Cam was so inspired that she wrote and created the concept for the "Diane" video: "We worked with a director who's so great at just making the whole thing come together in a really beautiful way," she said of the final product. "It's my story, I want to tell it the way I want to tell it visually."