On “Left 4 Dead”, A Love Letter To you 5’s third commercial single, Trippie Redd addresses his former lover switching sides on him when it mattered the most.

The track shares a faint resemblance to “Leray”, which is dedicated fellow artist Coi Leray — who Trippie had dated from 2018 until late 2019. “Leray” touches upon how Trippie gained consciousness of his own emotions after their breakup saying:

I wasn’t necessarily looking for happiness, just less pain

In “Left 4 Dead” Trippie also speaks upon learning not to treat love lightly, a common motif heard in his A Love Letter To You series.

It was initially previewed on May 17, 2023, and had a music video shot for it eleven days following on May 28, 2023.