Phil Anselmo said that message of the song was "Take your fucking attitude and take a fuckin' walk with that. Keep that shit away from me". His message was aimed at friends that treated the band differently when they arrived home after touring for Cowboys from Hell. He said "they thought it had gone to our heads, like we've got this rock-star thing embroidered across our faces".
The song is considered to be one of the band's best tracks and is also the band's most well known song to both Pantera fans and casual listeners. The song ranked number 16 on VH1's 40 Greatest Metal Songs.Guitar World magazine voted the song's solo the 57th greatest of all-time. The song peaked at number 35 on the UK Singles Chart, becoming the bands first UK top 40 hit, and number 23 on the U.S. BillboardBubbling Under Hot 100 Singles (equivalent to number 123 on the Billboard Hot 100).
Avenged Sevenfold recorded a cover of the song, which was included on their album Live in the LBC & Diamonds in the Rough. It was released as the first single on the album. However, the song was originally recorded for the band's first DVD, All Excess. It was later included on the album as it was never released on CD. On the live DVD that was included with the album which was recorded at Long Beach Arena, the band performed the song live with a member from the audience (Matteo Valenza, according to the credits of the Live DVD) performing the vocals.