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With the existentially questioning “26,” Carol set a tone of poetic yet relatable lines, and “Sadtown USA” builds upon that notion with a more upbeat, chanting chorus and thumping drum beat. Over the course of the song, Carol frames the darkness of depression around being trapped in an absolutely miserable physical place that embodies her emotional isolation. In an Instagram post, Carol shared that she wrote this song two years ago, and it was in the original batch of songs that propelled her to release music herself.