It is the final album released by Hydra Head Records before the label folded in 2020, with Cave In's back catalogue being returned to them.

[4][5] Since their last studio album, White Silence (2011), the members of Cave In would spend the ensuing eight years occupied with other musical endeavors.

[3] Other attributing factors to the eight-year gap between studio releases included Brodsky moving to New York, and difficulty agreeing creatively on what a new album should sound like.

The surviving members of Cave In put the new album on hold in favor of touring in honor of Scofield and raising funds for his family – a wife and two kids.

Major memorial performances included a Boston show with Converge,[8] a Los Angeles show with a one-off reunion of Isis[9] and an acoustic performance with Brodsky and McGrath at Roadburn Festival – the latter of which was recorded and released as Live At Roadburn Festival 2018 – Tribute to Caleb Scofield.

[6] The band described the sound of the album as featuring "glimpses of past Cave In eras" from Jupiter (2000) through White Silence, which was a direction Scofield influenced.

[3] Recalling email correspondences between Scofield about the new material, Brodsky said "He was really digging the stuff that was spacey, heavy, a little bit weird, but with very pretty melodies and hooks.

The opening/title track of the album includes a voice memo from Scofield that he sent to his band members about a new song idea after their final writing session.

"[14] The lyrics and vocals for the track "Shake My Blood" were performed by all three surviving members of Cave In after the death of Scofield, which Brodsky said was the first time he was able to express his feelings in song form.

When asked in an interview if the title could be a double entendre that also refers to this being the final album from Cave In, McGrath said he was unsure.

According to Brodsky, McGrath suggested they should do whatever they could to support the Scofield family, which was a "sobering moment" that "helped to start clear the fog of how to climb out of the depths of what we were experiencing.

[16] Writing for Under the Radar, Adam Turner-Heffer did comment that the album could've been made better had Scofield been present to give the band more time to complete it.