The live recording of "I'm Not Okay (I Promise)" on November 22, 2010, took place during a pivotal moment in My Chemical Romance's career, coinciding with the promotion of their greatest hits album, "May Death Never Stop You," released in 2014. At this time, the band was actively engaging with fans and celebrating their past work, as evidenced by the live performance at the House of Blues in Hollywood. This performance marked a significant point in their trajectory, as it was a reminder of their early 2000s success, particularly with the album "Three Cheers for Sweet Revenge" (2004), which solidified their reputation in the emo and alternative rock scenes. The video’s focus on a well-loved track showcases the band's enduring appeal and the nostalgia tied to their music as they prepared to close a chapter in their history before the eventual hiatus and reunion that followed.