[4] Speaking on his inactivity, Lil B told the East Bay Express that he was adopting a slower, more deliberate songwriting process, as part of an effort to make his music "more accessible".

Leading up to the mixtape's release, Lil B said that it touched on a wide range of topics, and hoped it would speak to people from marginalized communities.

[7] Thugged Out Pissed Off begins with "Come to the Waterfront Intro", which features a sample of Giorgio Moroder's Scarface theme.

[8] The thirteenth song, "I Was Born Poor", sees Lil B murmuring about his ancestry over a beat that features cymbals and sitar samples.

[10] Brooklyn Russell of Tiny Mix Tapes wrote that the thirty-eighth song, "Listen Pay Attention", demonstrated Lil B's "underrated skills as a 'traditional' emcee".

Russell also described the track "Handle Your Goals" as "particularly moving", and felt it proved there was "actual substance behind [Lil B's] words of encouragement".

[7] On the final track, "I Can't Breath", Lil B speaks out against racism, rape, censorship, and gun violence.

[15] An accompanying music video was also released, in which he rides a mountain bike and puts dollar bills in a washing machine.

[20] Pitchfork's Winston Cook-Wilson wrote that Thugged Out Pissed Off "feels like B is just hitting a deadline and releasing what he has lying around".

Cook-Wilson wrote that the mixtape's middle two hours were boring, and considered it more forgettable than Lil B's previous releases.