The song deals with a woman in a relationship with a dysfunctional man. However she can't let go as, "My life would suck without you." On March 11, 2009, Clarkson performed the song on American Idol which she won in the show's first season. When Ryan Seacrest asked her if the song was about a specific person, she said it wasn't, and added: "I'm not in a relationship right now, but I love the dynamic of the message: You're so screwed up, but you're perfect for each other. I probably will be like that in a relationship someday."
This was written by Dr. Luke and Max Martin, who also wrote Clarkson's 2004 hit "Since U Been Gone" and co-penned Katy Perry's "I Kissed a Girl." Dr. Luke started developing this song with Max Martin a number of years before its release. He told Entertainment Weekly: "After 'Since U Been Gone,' we wrote all these songs for Kelly. This one, which I think is the first single, we had the chorus a while ago and added the verse more recently." Dr. Luke added that Clarkson exhumed confidence in the studio: "It's sick. She sings a song in two hours and kills it. You're just, like, 'holy s--t.' She has powerful lungs. She's like the Lance Armstrong of vocal cords."
The cover art for the single shows a heavily made up Clarkson holding a heart-shaped lollipop provocatively near her mouth, the lollipop representing something that sucks.
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