Jackson is known for her songs about infidelity and for her ability to put her distinctive spin on many cover songs. But she is an accomplished songwriter who has explored many topics. This song is an example of one that isn't well known, but is important to Jackson. She told Songfacts
: "It's about alcoholism: 'It's Killin' Me Watching You Killin' You.' Cause you're an alcoholic, I can't fight back, I can't compete with Jack. I've done all I can do. And it's killin' me watchin' you killin' you. It's about somebody I cared about that drank all the time."