The "Rom and Death" (Rum and Death) part comes from Livesey's stern but cheerful warning to Billy Bones: "The words 'rum' and 'death' mean the same thing to you" .
The song features a vocal sample from Grand Theft Auto: San Andreas ("Ah shit, here we go again").
The meme achieved global viral status in July 2022 after being paired with by Russian drift phonk artist Ghostface Playa .