The album features guest appearances from Charlie Wilson, Hit-Boy, Big Sean, Don Toliver, Lil Durk, Anderson .Paak, Brucie B, Nas's supergroup the Firm, Fivio Foreign, and ASAP Ferg.

[5] Andy Kellman of AllMusic felt that the album was an improvement from the rapper's work in recent years, writing: "Nas is more ruminative and measured, like he's found his stride again, even as he flagrantly contradicts himself and waylays men and women with relationship advice that rings hollow.

"[11] In a more mixed review, Pete Tosiello of Pitchfork wrote that the album "marks a retreat into a nostalgia-act comfort zone—one which suits Nas, even as it yields diminishing returns.

"[12] Ryan Feyre of RapReviews.com wrote that the album's biggest missed opportunity lies in "Nas’ inability to reach beyond the ambitious presentation found in everything surrounding the lyrics," adding that "he's entertaining in spurts, but much like his 'godly' contemporary Jay-Z, one has to wonder if what he says ever really matters on King’s Disease anymore.

"[15] Danny Schwartz of Rolling Stone called the album a "slick Illmatic redux" and a "fresh portrait of Nas' now-mythical hustler years," but criticized the album for attempting to "paper over" the rapper's abuse allegations and showcasing his "increasingly questionable politics when it comes to women," concluding by writing: "26 years after Illmatic, Nas still has room to grow.