This was the first song that frontman and chief songwriter Scott Hutchison wrote for Pedestrian Verse. He told The Skinny magazine: "Lyrically, it set a standard which I tried to uphold on the rest of the songs. It was my first foray into writing about someone else's life and constructing a character other than a version of myself."
The album title is taken from a lyric in this song. Hutchinson said: "I felt it was a nicely faceted title, with enough layered meaning to remain open to interpretation. Above all though, it was a gauntlet I threw down for myself. If you call your album 'Pedestrian Verse,' you can't settle for any old lyric. It forced me to better myself."
This song was originally included as the title track of Frightened Rabbit's EP State Hospital, which was released on September 24, 2012.
Hutchinson admitted to The Guardian that on Frightened Rabbit's previous album, The Winter of Mixed Drinks, he was writing about himself and tried, to veil the meanings "because I didn't want to potentially hurt people in my life." On Pedestrian Verse, Hutchinson found himself writing about others such as this song's woman "born into a grave". "I thought, can I invest the same detail and emotion in someone else's experiences?" he said. "I wanted it to be a dense album, but I didn't want it to feel like a diary entry."