With the success of “Only Women Bleed” from his first solo effort, Alice continued with the rock ballads on this album. “I Never Cry” was written about his drinking problem, which would in one year send the performer into rehab and affect all his subsequent music up to and including 1983’s DaDa. Cooper called the song “an alcoholic confession”.
The “Alice Cooper Goes To Hell” tour of 1976 was completely cancelled prior to commencement due to Cooper suffering from anemia at the time. However, a number of songs from the album ended up in Cooper's live show. "Go to Hell" proved the last song until the 1989 hit song "Poison" to become a consistent part of Cooper's live setlists, being performed on most tours to the present. "I Never Cry" was also regularly performed in the late 1970s and during the 2000s, while "Guilty" was performed regularly on the Flush the Fashion and Special Forces tours and occasionally during the 2000s, and "Wish You Were Here" was frequently played on the tours for the following two albums.