"Ay!" is an emo rap song that blends elements of pop punk and trap, featuring "brooding but dreamy guitar loop with crisp hip-hop production". Machine Gun Kelly sings about sadness affecting his life, including "his preference for sad playlists, skipping meetings, and sleeping until 7 p.m."; he mentions cutting his hair and compares it to Britney Spears shaving her hair off in 2007 during her breakdown. Lil Wayne's verse has a reference to the band Guns N' Roses.
