[4] Underwood co-wrote and produced "Out of That Truck" with David Garcia, with additional writing by Lydia Vaughn.

[3] The song features a driving tempo and guitar-heavy production, while the subject matter has been compared to Underwood's previous single "Ghost Story" in that it details a post-breakup warning for her ex that he'll have trouble shaking her memory every time he goes for a ride in his pickup truck.

[5][6] On her inspiration for the song, Underwood described it as "basically just about the physical markers that somebody can leave behind in your life, and I feel like we've all got those to some extent.

I feel like if you grew up in a small town like I did, you spend a lot of time in your vehicle.

[3] Underwood performed the song live at the Grand Ole Opry on May 15, 2023[7] and on June 6, 2023.