Tennessee Pusher, produced by Don Was (Bob Dylan, The Rolling Stones, Bonnie Raitt), features 13 infectious tracks that offer a virtual American road trip, populated with characters that seem to span a century of the South. Down and outers, hustlers, freighthoppers - these are just a few of the archetypes we meet along the way. OCMS continues to create their special blend of American roots, rock, blues and country, but on Tennessee Pusher, the band has truly found their own voice. With the exception of "Always Lift Him Up" by Blind Alfred Reed, all of the tracks on the album are OCMS originals. Also noteworthy are two distinguished session musicians that joined the band in the studio: Jim Keltner (John Lennon, Neil Young, Brian Wilson) on drums and Benmont Tench (Tom Petty and the Heartbreakers) on Hammond C-3 organ.

When asked why he chose to work with OCMS, Don Was explains: "People ask me what The Old Crow Medicine Show are all about. If I'm in a hurry, I just say that they're The Clash of bluegrass music, but that doesn't really do anyone any justice. I could tell 'em that they're a rock 'n roll band who use fiddles and acoustic guitars instead of Les Pauls and Marshal stacks, but that's only one small part of the story. They're an American Band - even more so than Grand Funk Railroad! In fact, it's not hyperbolic to say that, as musicians, songwriters and singers, they are the smartest and finest purveyors of American music to come down the pike in decades."