It is the first official live album released by the band. The album is compiled from a couple live shows, one of which was on September 17, 2004 in Chicago at The Metro. The last track on the album is a studio recording of a cover of "Toxic", originally performed by Britney Spears. The CD also contains 4 fan made music videos, two for "Cooler Heads" and one each for "No Fun" and "California Songs".
One point of confusion regarding this album is the title. When looking at the CD case's contents, the spine says Live and the booklet mentions Alive '05 as well as Local H Comes Alive!, which is a take on Frampton Comes Alive! as one picture makes very apparent. The band themselves refer to it as Alive '05, so that is what the official title is. Also, on the spine of the CD one side reads "LOCAL H – LIVE" and the other reads "LOCAL H – DEAD." Because of the confusion, you may see reference to this CD by one of those titles, one case is actually the website of the label that put the CD out, where's it's referred to as Comes Alive.