It was another piano ballad (customary for Bee Gees singles during this period), which Barry has noted that he doesn't even remember writing. As mastered for the album, the inherent dynamic range in the vocal and piano has unfortunately been compressed almost out of existence, but it still comes across as an expressive ballad. The remastered version found on Tales from the Brothers Gibb, has increases the range somewhat lost on the album version. This single reached number 34 on the US charts in 1973. It was the group's last top 40 hit in either the US or UK until "Jive Talkin'" in 1975. "Alive" was the group's last release on the ATCO label. In 1973, the Bee Gees' manager, Robert Stigwood formed his own label, RSO Records, where the Gibb brothers enjoyed their most success.
On the promo video for the single, Maurice first appears playing the piano, with Barry and Robin appearing only holding a microphone.