The song's cover art was designed by Majinboof and revealed on December 13; Majinboof is also known for designing the cover art for Juice Wrld's first studio album, Goodbye & Good Riddance, and the singles "All Girls Are the Same", "Lucid Dreams", "Wasted", and "In My Head".

The song opens with Juice Wrld describing what an episode of the condition is typically like for him, saying that his mind becomes a "bloody scene" as "evil" begins to grab hold and he "[detaches] from reality".

Following the opening chorus, the song features only a single verse, in which Juice Wrld sings that he feels as if his artistic abilities are a curse, akin to Midas' golden touch.

In the second half of the verse, he likens himself to a sinking ship while also making references to "monsters", like "the Devil", that haunt his dreams and seek to "bring [him] down".

Matching the lyrics of the song, the woman's experience is very similar to Juice Wrld's, with multiple evil spirits and a creature resembling the Devil appearing in her room and towering over her as she lays paralyzed in fear; the video ends with the woman waking up from the episode in shock, before the definition of sleep paralysis is displayed on screen.