Extreme lead singer Gary Cherone came up with an interesting heartbreak metaphor on this track: He has a hole in his heart, and there's only one who can fill it. The song though, is not about a girl, but about God. Cherone is a devout Christian, but when writing rock lyrics he didn't make that obvious. When speaking with Christian publications, he made his beliefs clear, and even quipped that he plagiarized some lyrics for "Hole Hearted" from the Bible. In 1996, he became lead singer of the rather debaucherous Van Halen. He held that post for just one album; in 1999 he spoke out against various pro-choice groups, including Rock For Choice. He parted ways with Van Halen soon after.
Guitarist Nuno Bettencourt wrote the music for this track right after his new guitar arrived: his first-ever 12-string. In a Songfacts interview with Bettencourt, he told the strange story of how it happened. "I wrote it on the toilet!," he said. "I got kind of excited that I had my first 12-string, and it made me want to go to the toilet. I sat down, took my time, and dare I say, the ideas just came out. They came pouring out."
Musical inspiration for this acoustic track came from Led Zeppelin III, which Bettencourt had been listening to at the time. That album contains most of Zeppelin's more mellow, acoustic songs.
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