The album features guest appearances from John Legend, Rick Ross, Kodak Black, the late Pop Smoke, Lil Durk, Doja Cat, Saweetie, Fivio Foreign, Fabolous, Coi Leray, 42 Dugg, Ty Dolla Sign, Latto, Lil Tjay, and Moneybagg Yo.

Production was handled by Montana himself alongside Diddy, Hitmaka, Cardiak, FnZ, BoogzDaBeast, Butterbeats, Stoopidondabeat, Boi-1da, SMPLGTWY, Elemantastic, Lil CC, Paul Cabbin, Tee Romano, Pooh Beatz, Go Grizzly, London Jae, Reefa, Bordeaux, Non Native, Nik Dean, 12Keyz, Mixx, Harry Fraud, Aye YB, Kronic, Tay Keith, Keith-FF, Rich Steele, Slimwave, LayZbeats, and Armotunez.

On November 1, 2021, French Montana announced the album alongside its title, cover art, and now-original release date.

The cover art of the project is inspired by the time when he was rushed to the hospital in November 2019 due to heart issues and nausea.

[3] The album's lead single, "FMWGAB", was released on June 11, 2021, and a remix that features American rapper Moneybagg Yo also appears on the project.