This song was co-written by John Legend, who also features on piano. Pixie told the Mail On Sunday's You Magazine that she and the American multiple-Grammy winning musician had difficulty arranging a convenient time to meet up for their collaboration. She recalled: "I met John Legend through a songwriter friend who thought we should work together and sent him one of my ballads. I went to meet him at his house in LA and we got on really well. Our schedules were crazy, but we found this one day when we were both in New York at the same time, so I got straight off a plane and went to a studio and we got the song done there and then."
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.