With its echoed guitar and clean vocals, "37 Stitches" has an overall mellow and moody atmosphere compared to previous singles. Possibly referring to the song, the drummer Mike Luce said in an interview, "We have got some old school typical Drowning Pool high energy music. But then you got some more mainstream Alice In Chainsacoustic rock".
Number 37 is an homage to Ryan McCombs' father. Ryan McCombs said in an interview, "I wrote the song 37 stitches back when I was in Drowning Pool, and it was kinda an homage to my dad. When I was growing up, everything was always 37. "How much farther? 37 miles.", "How old do you think he is? He's 37 years old." This is dad's number, yeah."