Auto-Pain represents the constant wave of depression felt by many in everyday life. Stemmed from Aldous Huxley's 'Brave New World', Auto-Pain is a concept meant to be an inverse to soma, a pill in the book which makes everything numb. The idea of auto-pain is to epitomize the desire to return to a connection with thoughts and clarity, which comes at the expense of feeling everything simultaneously. The album artwork features the now-demolished Prentice Women's Hospital in Chicago capturing the band's rounded-off brutalism, and the album title appears in Urdu, a nod to drummer Shiraz Bhatti's Pakistani heritage. The record was recorded and mixed by Chicago scene luminary Dave Vetraino (Lala Lala, Dehd) and mastered at Chicago Mastering by Greg Obis (Ne-Hi, Melkbelly).