The album features collaborations with French DJ Aazar and fellow American DJ NGHTMRE as well as co-production from Sly, Chris Lyon, and Shaun Frank, and writing credits from frequent co-writer Emily Warren, Kate Morgan, Drew Love of THEY., Tony Ann, Corey Sanders, and Chelsea Jade.

[1] Sick Boy's tracklist is made up of singles gradually released throughout 2018 as an attempt to increase the songs' success.

The album was noted by Your EDM as "an improvement from Memories...Do Not Open" and "a massive step in the right direction... with the Chainsmokers a little lost on their own sound.

He went on to state that, "At the heart of it all, this set is dark, sometimes exciting, and a step in the right direction for the immensely popular but critically maligned duo.

In sharp contrast, Laura Snapes of The Guardian gave the record a very negative review, calling it "a torrent of spew-inducing self-pity".