[5] In Spirit Phone's 2018 commentary, Cicierega states that the song's perspective is from "a dedicated caller into a radio show who has it all figured out", calling it a "big rant of preemptive defensiveness and saying you're going to do something without ever doing it".

It instrumentally features strings,[5] bass, drums, synth, and keytar, with the Collegian describing its "whimsical sound" as reminiscent of Lemon Demon's fourth studio album, Damn Skippy (2005).

Following the lyrical end of the song, "Touch-Tone Telephone" closes with a minute of experimental synthesizers, described by the Vector as "melting into space".

The video stars Tom Wohlfahrt, who dances and acts out the song's lyrics in a room with an evidence board, a push-button telephone, and a projector.

After the creation of the video's concept, filming took four days and production took three weeks, intending to match its close release date to Halloween with the paranormal themes of Spirit Phone.