The album is the follow-up to the band's 2012 self-titled debut. Vocalist Connor Garrity says: "This portion of the story is told from one child's point of view - the little girl writing the letter to her parents begging them to come save her. The idea for the story was something I came up with and immediately wanted convey visually as well as musically.

"The director Brian and I worked closely together on the concept and treatment. From the initial idea I knew I wanted it to be something that would make people feel uncomfortable, but not be too gory.