Like many tracks on Supreme Blientele, “RVD” is a reference to a professional wrestler. This song is named after former ECW, WWE, and TNA wrestler Rob “The Whole F'N Show” Van Dam. His name is often abbreviated to RVD.

The track finds Westside Gunn and Buffalo poet Keisha Plum on an airy piano-based instrumental produced by Griselda’s in-house producer Daringer. A 2018 interview with Charlemagne and Kanye West is sampled as the outro.