This piano-driven song is a track from American alternative band The Used's fourth studio album, Artwork.
Even though this is bright tonally, lyrically this is one of The Used's darkest ever songs. Frontman and songwriter Bert McCracken told Artistdirect.com: "I originally wrote that song about something else deeper. The tone of the song seems so operatic or almost soap—operatic [Laughs]. It's such a devastation from the beginning. In a way, the song is whatever you want it to be. It's a "F--k you" or it's an "I love you the most." Either, it's "I'm not kissing you goodbye. I'm f--king out of here," or it's like, "I'm not kissing you goodbye. You're everything. I'm not leaving. I'm not going." You could perceive it two ways. It's almost like saying, "Get the f--k out of my life," but at the same time it's like saying, "I can't live without you. I can't do anything without you." The song is the perfect dichotomy between where relationships fall apart."
Mike Campbell from Tom Petty & the Heartbreakers played the slide guitar on "Sixth Avenue Heartache." There is a connection here - Wallflowers lead singer Jakob's dad, Bob Dylan, played with Tom Petty in The Traveling Wilburys.