"Pussy Fairy (OTW)" is an R&B ballad, featuring an alchemy crystal sound bowl intended to activate the listener's Svadhishthana (the sacral chakra).

"Pussy Fairy (OTW)" was Aiko's first solo single to reach the top 40 on the US Billboard Hot 100 and was certified platinum on the Recording Industry Association of America (RIAA) for selling over one million digital units.

[3] Việt Lê, Christian Plata, Zeke Mishanec and Fisticuffs were the audio engineers, and were assisted by Andy Guerrero and Trey Pearce.

[17] Aiko chose the key of D major for "Pussy Fairy (OTW)" to spark the listener's Svadhishthana, a chakra associated with "pleasure and intimacy";[17][18] she described the intended response as similar to "activating your...balls and your ovaries".

[21] In a Vulture article, Halle Kiefer referred to the song's tone as "extremely mellow",[22] and The Guardian's Laura Snapes said it had a "visceral fricative beat".

[18] In a review of Chilombo, Stephen Kearse of Pitchfork interpreted its first six tracks, including "Pussy Fairy (OTW)", as narrating a story about "a woman enduring heartbreak and emerging stronger".

[21] MTV News' Trey Alston wrote that the song was part of a larger theme in Aiko's music that features her singing about "how sex ties us all together and strengthens some emotions while weakening others".

[21] In a Revolt article, Tamantha Gunn remarked that Aiko acts "all types of freaky" by singing the chorus: "Don’t be surprised boy, when I buss it wide / I hypnotize you with this pussy / Now you feel like you can fly.

[32] A contributor for HipHopDX wrote that "Triggered (Freestyle)" and "Pussy Fairy (OTW)" had set high expectations before the album's release.

[33] While praising Aiko's vocals, Entertainment Weekly's Marcus Jones described "Pussy Fairy (OTW)" as a "siren call hypnotizing lovers into sauntering right back into the bedroom for an extended holiday break".

[35][36] Some critics praised the song for its sexually explicit lyrics,[37] which Vibe's Candace McDuffie described as showing Aiko "relishing in the power of her own anatomy".

[28] Joi-Marie McKenzie of Essence cited "Pussy Fairy (OTW)" as an example of how Aiko's focus on vibrational healing on Chilombo resonates without being "too hippy-dippy".

[39] In an April 2020 article for Elle, Nerisha Penrose named "Pussy Fairy (OTW)" one of the top 24 songs of the year to date.

[23] Stephen Kearse enjoyed "Pussy Fairy (OTW)", but criticized Aiko for acting too "coy and inert" in the follow-up track "Happiness Over Everything (H.O.E.)"

[21] Vulture's Craig Jenkins compared "Pussy Fairy (OTW)"'s sexual content with 1990s songs like Bell Biv DeVoe's "Do Me!"

He felt "Pussy Fairy (OTW)", Tinashe's "So Much Better" (2019) and Summer Walker's "Girls Need Love" (2018), showed R&B singers being "very upfront about sensuality and desire".

[41][42] In Vice, Kristin Corry said Aiko made "her own playful version of a bedroom jam", but remarked that it was not as explicit as Janet Jackson's 1997 album The Velvet Rope.

[6] Critics noted that the video was not as explicit as the lyrics,[62] although The Fader's Sajae Elder remarked that it was "still somehow a perfect match for the song's sexy subject matter".