 The record's sound is underground, with a more New York bent than traditional Wu-Tang releases, though some tracks—especially "A Lil' Story"—are heavily reminiscent of RZA's signature sound.It was thought that RZA had produced the track because of its sound and Deck's shoutout to the producer at the beginning of the song, but Deck has confirmed it was in fact Cilvaringz, stating,

"The Resident Patient"'s release comes only three years after Inspectah Deck's previous album, "The Movement", marking the shortest time period between two of the Wu rapper's solo releases; like his previous albums, it forgoes any effort at popular success and aims for a strictly underground, street feel.Unlike his two other releases, however, its sound is more cinematic, relying on strings or horns low in the mix and synthesizers, organs or piano chords for emphasis.