Prior to its release, the album was reported to be "more approachable or communicative on a basic human level" than anything else the band has released.[9] The first track, "I Do What I Want When I Want", was released on December 11 via Pitchfork Media's "Forkcast",[10] and is also available free of charge from Kill Rock Stars' webstore.[11]
The release through the iTunes Store includes seven exclusive bonus tracks, whilst 500 limited edition copies were packaged with a DVD called "What's Your Problem?", containing four tour films, 100 photos, and sixteen music videos.[12]
All songs are written by Xiu Xiu, except "Under Pressure" written by Queen and David Bowie. "You Are Pregnant You, You Are Dead" contains additional lyrics by Angela Seo.