Each Sunday, Costello and Kaszyca "talk about all things to do with love, relationships, sexuality, and pretty much anything else they just don't understand.

[4] Sounds Fake but Okay is released weekly on Sundays at 14:00 UTC (10:00am Eastern) and episodes are about one hour long.

[4] Topics range from those serious, such as asexual people's place in the queer community, to lighthearted, such as discussions of fandom or pop culture.

[2] The episodes are typically casual, with Costello and Kaszyca frequently going off on tangents or switching topics mid-episode.

Guests have included people the hosts met at school,[8] members of Costello's family (both her sister[9] and her mother[10]), and other creators and activists in the asexual and aromantic communities.