Island Records released the song digitally on March 3, 2023, while Universal Music Group sent it to Italian radio airplay as the lead single from the soundtrack.

Demi Lovato returned to pop-punk and rock-infused music with the release of her eighth studio album, Holy Fvck, in August 2022.

[3] The singer hinted at the song's release after sharing a phone number and a link that led to a Ghostface intro, played by Roger L. Jackson, and a teaser of "Still Alive".

[5] In a press release, she said: "I couldn't think of a more perfect home for 'Still Alive' than within the Scream universe, I'm a huge fan of the films, so it's an honor to contribute to such an iconic horror franchise".

[7] Island Records released "Still Alive" as the lead single from the album[6] on March 3, 2023, while Universal Music Group sent it to Italian radio airplay.

[11] The chorus' lyrics ("Already died a thousand times / Went to hell but I’m back and I’m breathing / Make me bleed while my heart is still beating / Still alive") were compared by Billboard's Lars Brandle to Lovato's 2018 drug overdose, in which she "came very close to losing it all.

[15] Billboard's Stephen Daw included "Still Alive" on a list of Best Queer Releases of the Week, and described the song as a masterclass, and "an excellent addition" to Lovato's rock catalog.

The video also contains scenes taken from the film starring Melissa Barrera, Jenna Ortega, Jasmin Savoy Brown, Mason Gooding, Hayden Panettiere, and Courteney Cox.

The screening stops and the person in charge of it, drops dead and Ghostface appears to attack Lovato and her friends as they try to fight off him and escape.