It serves as the lead single to the deluxe edition of Ez Mil's 2022 studio album DU4LI7Y.

"Realest" marks Ez Mil's major-label debut single and his first collaboration with Eminem.

Trent Fitzgerald of XXL wrote that the song featured "a fist-thumping lunchroom table beat" and a "popping snare", with the two artists rapping using a variety of flows.

[4] Eminem's verse contains several disses toward musicians who have spoken negatively about him in the past, including Melle Mel of Grandmaster Flash and the Furious Five, and The Game, while also taking jabs at Gen Z.

[1] Melle Mel responded to Eminem with a short diss track on August 8, 2023, which was panned by critics online.