Mitski was coerced into producing the screams for this song by a rival bellower. She recalled to Rolling Stone: "I'd never screamed in the studio before doing 'Drunk Walk Home,' but it just felt right for the song. I remember I did an initial take of screams and they were pretty tame because I was shy, and then the recording engineer stood up and said, 'Let me try,' and did a set of screams that were better, and I was like, 'Oh, OK f--ker, watch this,' and did the screams on the record. I'm easily coerced by competition."
"Cigarettes And Chocolate Milk" describes a time in Rufus Wainwright's life when he found himself hungover and pounding chocolate milk to feel better. It didn't work, so he smoked a cigarette, which is when he realized his addictive personality could be a problem.