It is their third concept album and the final chapter of the Annabel trilogy, released on April 21, 2015.

[4] Alesana released a book titled "Annabel" on August 31.

The short novel tells the story that the band's three concept albums are based around, including a special edition of Confessions with new artwork and two extra songs.

[5] Timothy Mongle of Allmusic wrote that Confessions "eschews traditional labels" and called the band's self-description of "sweetcore" a fusion of screamo with "highly theatrical alt-rock".

[citation needed] All lyrics written by Dennis Lee, Shawn Milke, and Patrick Thompson, all music composed by Alesana.