The album was partially constructed from a series of collaborations the band had made over the years; some, like "Hate You" with JPEGMafia, "Delicious Ape" with Xiu Xiu, and "Mass Grave" with Soccer Mommy were previously released, but also incorporated new tracks like "Power Fantasy" with 100 gecs and two new, non-collaborative songs, "Cyberpunk 2.0.2.0."

[4] Health described the record as " a collection of original collaborations with artists we admire", in contrast with their past remix albums, with the Disco title being maintained for continuity.

[5] Singer Jake Duszik said that there could be a "fair amount of awkwardness" in the collaboration process, with it being like a "blind date", but he also said it avoided being stuck in a "cyclical rut".

[7][8] For Part II, the band contacted Trent Reznor of Nine Inch Nails with the expectation that they wouldn't hear back, but it became "very real" when they got a vocal track.

[9][10] Part I was generally well-received, with KEXP saying "The album coheres surprisingly well, with the sound being a dark, ominous blend of industrial, noise-rock, metal, and electronic styles.

[11] Simon K. agreed, stating all but one "feels and sounds surprisingly well developed and expertly handled", but criticised a "couple of stylistic clashes".