Speaking with Rolling Stone in 2020
, Wainwright talked about writing this song. "At the end of a very dramatic and worrisome drug episode, I was able to compose a great piece of music," he said. "I don't recommend that, and I don't know if it was necessary to go through that to get there, but that is what happened, nonetheless. That wasn't the last time I had issues, and there weren't other songs like that afterwards, so I think it was a one-shot deal. It's about going to the limits of your physical and mental abilities with drugs and crashing into the darkness. Thankfully, I was able to come back."