Upon its release, the track received generally favorable reviews from music critics, who appreciated Cyrus' inclusion and its diversity from her earlier works, but were ambivalent towards its overall production.

[2] After the release of her third studio album Can't Be Tamed (2010), Cyrus originally announced plans to focus on her film career, effectively putting her musical endeavors on hiatus.

She was also confirmed as a primary voice actress in the feature film Hotel Transylvania, but dropped out of the project to coordinate a musical comeback in 2012.

Her involvement with "Decisions" was originally not publicly acknowledged in an attempt to "make a tune together that we're super happy about and just see people's real opinion about this.

Jocelyn Vena from MTV News described it as "what might be one of her most risqué performances", having worn sexually-suggestive clothing and provocatively danced with a topless woman.

[10] Upon its release, "Decisions" received generally favorable reviews from music critics, who appreciated Cyrus' inclusion and its diversity from her earlier works, but were ambivalent towards its overall production.

Writing for Gurl, Jessica Sager spoke favorably of Cyrus' background vocal delivery, and called it "a far cry from "Party in the U.S.A.", but it’s still pretty awesome.

"[15] In February 2014, Chris Wood from YourEDM noted that "Decisions" became an "interesting pivot point" in Borgore's career, which "pushed [him] into the early stages of a pop icon within electronic music scene".

[16] An accompanying music video for "Decisions" was directed by Christian Lamb,[17] and was filmed at Beacher's Madhouse in Los Angeles, California.