Thematically, the album is much darker than the band's debut. "2 X 4" is about Hoon's experience at a drug detox, while the lyrics to the acoustic ballad "Walk" cryptically reference his addiction to amphetamine and attempts to recovery. "Skinned" is about murderer Ed Gein. "Car Seat (God's Presents)" is about Susan Smith, who killed her children by driving her car into a lake in Union, South Carolina. "St. Andrew's Fall" is about suicide. When asked about "Mouthful of Cavities", Rogers Stevens said, "It's probably about the convoluted nooks and crannies of Shannon's brain." It featured harmonies between Hoon and Jena Kraus. "New Life" is about the birth of Hoon's daughter Nico Blue. "Wilt" is about halitosis. "Galaxie" is about Hoon's struggle with addiction, and experience with his car, a 1964 Ford Galaxie. "Lemonade" is a humorous song about a bar fight.