Co-singer/guitarist Ed Droste commented to Drowned In Sound: "Can you hear the girl's giggle? It changed the song for me from 'scary' to 'everything else.'"
The group's other co-singer/guitarist, Daniel Rossen, added: "Along with 'Fine For Now' this song was transformed and shaped in the end by playing it as loud as humanly possible while we were upstate. I think of it as a really demented love song. skirts the boundary of being totally insane and unbearable, which is somehow a selling point for me. When the song was finished and the choir was on with their laughter and snickering I was kind of scared that we had accidentally channeled Satan."
Fall Out Boy's "The Kids Aren't Alright" song title is not a reference to The Offspring's 1998 single of the same name. It actually alludes to The Who's 1979 rockumentary film called The Kids Are Alright.
Bruce Springsteen wrote "Blinded By The Light," which was a #1 hit for Manfred Mann's Earth Band. The "Madman Drummers" line is a reference to Springsteen's first E-Street drummer, Vinnie "Mad dog" Lopez.