The album's title, cover art, and concept are inspired by Alfred Hitchcock and Jeff Alexander's 1958 spoken word album Alfred Hitchcock Presents Music to Be Murdered By. The album was supported by two singles: "Darkness" and "Godzilla". Alongside the album's surprise release, Eminem also released the music video for "Darkness", which revolves around the 2017 Las Vegas shooting from the point of view of the perpetrator Stephen Paddock alternating with Eminem's own.