The album features guest appearances from Alicia Keys, J. Cole, Chief Wuk, Future, 21 Savage, Kodak Black, Rob49, Morgan Wallen, and Juice WRLD.

Production was handled by Alicia Keys herself, Chopsquad DJ, Dr. Luke, ATL Jacob, Hendrix Smoke, Ghostrage, Touch of Trent, Haze, Southside, Smatt Sertified, Looisey, Desro, Metro Boomin, T99, Ryderoncrack, LMC, Cloud, Zaytoven, Wheezy, Juke Wong, LilJuMadeDaBeat, Cubeatz, B3 Productions, 7ink, Square, Quis, Inuya, Major Seven, Emzy, Charlie Handsome, LowLowTurnThatUp, Paul Monstereal, Crevm Dian, Jusvibes, RunItUpNick, Indiyah, Yeahthismoh, John Lam, Lufye, and AK.

[8] On May 12, 2023, the lead single of the album, "All My Life", which features fellow American rapper J. Cole was released, and the two were spotted with a group of children filming the official music video exactly ten days before.

After having received said amount, the rapper posted the release date and cover,[14] the latter of which depicted a black and white photograph showing Durk surrounded by blurry figures.

Dylan Green of Pitchfork felt that Almost Healed lacked cohesiveness, explaining that "it never knows what kind of experience it wants to deliver" and "Durk's presence is strong and his endurance is inspiring, but his intentions are as muddied as ever".

And while the authenticity of his verses is bolstered by the vivid details he peppers throughout, like seeing blood from a miscarriage in the toilet on "Sad Songs," it's also a little off-putting to then hear him threatening to "pull up with a stick" on "Big Dawg."

"[19] HipHopDX's Louis Pavlakos criticized the guest features on the album stating, "Durk's insistence on making radio friendly tracks includes another lackluster team up for pop crossover.