Shortly after, people came up with different interpretations of 'Confessions Part II', among other personal songs in the album. Usher held few listening parties for the album prior to its release. The single was released in the country on November 1, 2004. In the United Kingdom, it was issued as a double A-side with ' My Boo', the fourth single from the album. It was released in Germany on October 18, and Australia on October 26, 2004, featuring the album and remix version of the track and a song called 'Whatever I Want'. The single was released in the United States as a 12-inch single on August 24, 2004. 'Confessions Part II' was released as the third single from the album, following 'Burn'. Dupri expected people to question some of the personal lyrics they associated in the song. I've got a lot of things and stuff built in me that I just want to let go of.' He further noted that, for the most part, the album's subject matter is 'very personal'. He decided 'to let it all hang out by singing about some of his own little secrets, as well as a few bones from his homies' skeleton-filled closets.' He explained: 'All of us have our Pandora's boxes or skeletons in our closets. While Confessions was still in production, Usher promised 'real talk' in it. The latter speaks of impregnating a mistress. Usher said that the former is a 'dramatization where a guy confesses all the stuff he's been doing' against his woman. The theme of cheating inspired him and Dupri, and they then decided to produce two parts of 'Confessions': Part I and Part II. One day, before the night was over, Usher was singing about impregnating a mistress and becoming displeased, having found that she is three months pregnant. Usher started recording the song in July 2003 in New York City. However, they were concerned because they needed somebody to write such a song and they never thought Usher would do it. Like 'Burn', the second single from the album, Dupri and Cox conversed about a situation, creating the idea of the prospective song. Cox has been a frequent partner of Dupri who had produced hits for Usher as well. Dupri approached Bryan-Michael Cox, asking him to become a collaborator. He again enlisted producer-songwriter Jermaine Dupri, who had produced songs for Usher's two previous albums. When he started working on his fourth studio album Confessions after the release of his 2001 album 8701, Usher chose not to branch out much with musical collaborators instead, he chose to continue creating music with his previous producers. Internationally, the single had lesser success than the album's previous releases. The single reached number one on the Billboard Hot 100 for two weeks, becoming the album's third consecutive number-one single.

The song was released as the third single from the album, following the success of ' Burn'. 'Confessions Part II' received mixed reviews from critics. Its personal content evoked rumors and early responses from the public even before its release, believing that Usher was asserting the truth however, Dupri divulged that the story behind the album is about himself. This is a continuation of 'Confessions Part I' which relates to a man's infidelity.

Written by Usher, Dupri and Cox, the song is a confession of a man to his woman about his impregnated mistress. ' Confessions Part II' is a song by R&B singer Usher, produced by Jermaine Dupri and Bryan-Michael Cox for Usher's fourth album Confessions.

Confessions part 2 usher