Disease (Beartooth album)

Caleb Shomo is the lead vocalist, guitarist, bassist, drummer and the lyricist. According to Shomo, the process for developing this album was difficult compared to the others as Shomo explored outside the confines of his basement. Shomo says "I wanted to get a different vibe on this record," meaning he chose to go to studios around the world. His regular strategy for a song he was working on was to write them in his basement and play them on programmed instruments to get a feel for how it would sound and play it on actual instruments later: working on "Disease" being actual studio gave him the opportunity to play on the instruments immediately and get the sounds he wanted faster.[5][6]

Shomo wanted to address the futility in his life and not hide it, he wanted to produce songs that feel real: with his other album, Aggressive, he felt he was faking being happy and that nothing was wrong. With "Disease", he didn't want to lie anymore and instead dive back into his emotions and express it through the music to produce a track that felt honest and relatable.[7][8] Shomo, during the 2018 tour promoting Disease, would give a small speech before every show expressing the need to be aware of depression, and, if you feel depressed, to talk to someone. Each speech varied in content; all of them were inspired by a great friend of his, Kyle Pavone from We Came as Romans, who died from overdosing.[9] Shomo, a year and half before a speech he gave on October 1, 2018, while contemplating suicide, developed the idea that depression is a disease.[10]