The album also reached the summit in over 10 other countries including Australia, Canada, New Zealand, Switzerland, and the United Kingdom, and top 10 positions in major music markets.

The second single, the title track, was moderately successful and attained top 40 positions on the charts of over 10 countries, while "Whatever You Want" and "Secrets" had limited releases in June and August 2018, respectively.

[5][15][16] The album's creation and release were ultimately pushed back to 2017 after Pink gave birth to her second child, a son named Jameson Moon Hart, on December 26, 2016.

[32][33] Lyrically, the album has an emotional theme, addressing insecurities and imperfect relationships, as well as the singer's concerns about societal and global issues.

[10][34][35] Josh Hurst of Slant Magazine characterized Beautiful Trauma as a pop album "about bent-and-broken people",[33] while Rolling Stone staff wrote that most of the songs analyze "married life, motherhood and the state of the world".

[28] Most critics noted that Beautiful Trauma includes predominantly ballads with "dramatic" choruses;[33][35][37] Pink's manager Roger Davies called it "just a continuation of the previous records".

[38][39] Its composition consists of "hammered" piano chords backed by synthesizers and an orchestra,[35][39] while the lyrics delve into a long-term troubled relationship and compare it to drug addiction.

[38][42] "Whatever You Want", the third song, is a "confessional" pop rock track produced by Max Martin and Shellback and inspired by the difficulties Pink faced in her relationship with husband Carey Hart.

[10][20][38][43] Both Jamie Otsa from Drowned in Sound and Evan Sawdey of PopMatters noted similarities between the track and Radiohead's 1995 song, "High and Dry", referring to "more than a few chord changes".

[10][34][44] "But We Lost It" is a piano ballad, deemed as an "affecting damaged" love song, while "Barbies" contains folk elements and lyrics about the pressure of growing up while longing for a simpler time.

[20][41] The twelfth and penultimate track, "Wild Hearts Can't Be Broken", was written by Pink and Michael Busbee as a "feminist chant" that depicts women fighting for equal rights and respect.

[53] On September 8, 2017, Pink performed the song for BBC Radio 1's Live Lounge, as well as "Who Knew", "Try", and a cover of "Stay with Me" by Sam Smith.

[63] She performed "Barbies" at the 51st Annual Country Music Association Awards on November 8 of that year, accompanied by a string quartet and two backing vocalists.

[66] At the 2017 American Music Awards, Pink performed the title track while hanging by a high wire in the air and walking on the side of the JW Marriott Hotel, Los Angeles.

[67] The singer collaborated with the aerial dance group Bandaloop for a heavily choreographed performance, which included backward flips, "stunning extensions", and other acrobatic moves.

Shot in black-and-white and directed by Sasha Samsonova, the accompanying music video sees Pink singing while sitting alone in a barren room, wearing a white tank top and distressed jeans.

[81][82] Taylor Seely of USA Today called the visual "stunning", while Desiree Murphy of Entertainment Tonight opined that "it's one of her most powerful music videos yet".

[87][88] An accompanying music video, directed by Georgia Hudson, and choreographed by Nick Florez and RJ Durell, known collectively as the GoldenBoyz, was released on August 16, 2017.

[98] Commercially, the song performed moderately on record charts, reaching top 40 positions in over 10 countries, including Australia, Belgium (Flanders), and the UK.

[123] Patrick Ryan of USA Today praised the "stripped-back arrangements" for emphasizing Pink's abilities as a singer-songwriter, and observed the album's theme gravitates towards "her tumultuous relationship with Hart" and "achingly relatable anecdotes" about marriage, family, and maturing.

[124] Louise Bruton of The Irish Times shared a similar sentiment, pointing out Pink's consistent release of "relatable pop songs" throughout her career.

[43] Writing for ABC News, Allan Raible deemed Beautiful Trauma as excellent and noticed that "much of this record finds her working in ballad mode", which he considered a calculated move that highlights Pink's "significant power as a singer".

[127] Drowned in Sound's Otsa praised the album's production and wide array of influences, feeling that the singer "proves that she's both still relevant, and a vital, confident female voice".

[40] Chris Willman of Variety characterized Beautiful Trauma as "confessional pop songwriting" with "garrulous emotion", citing "Revenge" and "Whatever You Want" as highlights.

However, Hurst noted the album "demonstrates its humanity" through "sharp lyrics and deeply felt vocals", praising the raw and "soul-baring" nature of "Barbies" and "But We Lost It".

[33] According to Stephen Thomas Erlewine of AllMusic, the production of Beautiful Trauma is "undergirded with genuine feeling that Pink conveys with her measured performances", but the album sounds "too controlled", resulting in a "tamer record".

[36] Billboard listed the album as the 13th best of 2017, with reviewer Patrick Crowley pointing out the singer's "tenacious warrior" mature attitude and her "sick sense of humor [that] is still in tact [sic]".

[140] In the week ending June 2, 2018, Beautiful Trauma topped the chart again, selling an additional 16,000 units courtesy of the ticket bundle campaign.

[146][147] Across Europe, Beautiful Trauma reached the summit of the charts in Austria, Belgium (Flanders), the Czech Republic, and Switzerland, and the top 10 in other countries.

[162] According to the International Federation of the Phonographic Industry (IFPI), Beautiful Trauma was the third and eighth best-selling album of 2017 and 2018, respectively, and had sold over 3,000,000 copies worldwide by March 2019.