Beartooth's third album is a stark chronicle of frontman Caleb Shomo's battle with his own demons. He told Kerrang how the album's concept "literally hit me like a train" when he was on the road touring Aggressive in December 2016. Shomo recalled: "We'd already been on the road for a really long time, and I remember being in Finland, and I hadn't seen the sun in, like, a week. I was having a really hard time, and I was really depressed. In that moment I definitely felt suicidal again, which I hadn't for a very long time. And it all just... It all happened in that moment. I was like, 'Holy s--t, this is a disease, this will never go away, and I really need to learn how to cope with this and dive in deeper.' So I wrote down the word 'disease' and realized that was the name of the record, and the whole concept. Then I went home and wrote the song 'Disease.'"
The song's music video was directed by Drew Russ, who has previously worked with Beartooth on their clips for "Lips," "In Between" and "The Lines."
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