Similar to A Shipwreck in the Sand (2009) and This Is How the Wind Shifts (2013), I Am Alive in Everything I Touch is a conceptual album penned by lyricist and lead vocalist Shane Told.

The album is split into 4 chapters: "Borealis" (North), "Austeralis" (South), "Zephyrus" (West) and "Eurus" (East).

The video begins with Shane Told (lead vocalist) in a bath of water, seemingly dead.

This video consists of footage from Silverstein's Discovering the Waterfront 10th anniversary tour as well as images of highways and buildings.

[13] He named "A Midwestern State of Emergency" as the group's "best work", showing off their combination of screaming verses flowing into "huge singalong choruses".