The album's tone was influenced by the deaths of several people close to the band, including original guitarist Stefanie Sargent in 1992 and The Gits' vocalist Mia Zapata—who inspired its title and is depicted on its cover artwork—in 1993, although this was not intended as its general theme. The album's promotion was supported by Atlantic Records, who signed 7 Year Bitch a month prior to its release.
The music of the album was influenced by the deaths of several people close to the band, including Stefanie Sargent, the original guitarist for the group, and Mia Zapata, the vocalist of The Gits, whose death inspired the album's title and cover art. This wasn't the album's main theme, however. Atlantic Records supported the album's promotion a month before its release.