"Hate My Heart" is told from the point of view of a character who is regretful over her breakup, wishing she could move on. "‘Hate My Heart’ was definitely part of my desire to have fun on this album," Underwood said via a statement. "I wanted songs that would be exciting to perform live and would fill up an arena, and that’s exactly what we’re about to do with The Denim & Rhinestones Tour. This one is definitely going to get everyone up on their feet and having a good time. It was great writing ‘Hate My Heart’ with Hillary Lindsey and David Garcia, who I love collaborating with, and also getting to work with Hardy, who brought a cool vibe and an energy to the track."[2] "I have a love for 90's and 2000s rock as well as 90's and 2000s country. I feel like I kind of married those genres and times together. It is a super fun song that I feel like accomplished everything that I wanted to accomplish," she said.[3]
Music video
The music video was directed by Shaun Silva and premiered on November 2, 2022.[4] It depicts Underwood and four friends as each go through a breakup. They end up at the Wildhorse Saloon in Nashville for a girls' night, where an all-female band (made up of doppelgangers of Underwood and her friends) is playing.