As asserted by Denzel Curry, “Black Balloons Reprise” is the sequel to “BLACK BALLOONS | 13LACK 13ALLOONZ” and is the prequel to “THE BLACKEST BALLOON | THE 13LACKEZT 13ALLOON” both from Denzel’s third studio album, TA13OO.

Similarly to the two other tracks, the song sees Denzel elaborating on his mental struggles and on how pain and depression—represented in the metaphor of the black balloon—affects society and remains a taboo. As expressed in the chorus, the tone of the song is very pessimistic:

We all cry
The day the black balloon explodes, we all die
Nobody couldn’t handle the truth, we all lie