The song features Ronnie Van Zant singing about how he is a troublemaker. Lyrics include "Double Trouble, is what my friends all call me". According to the book Whiskey Bottles and Brand New Cars: The Fast Life and Sudden Death of Lynyrd Skynyrd by Mark Ribowsky, the genesis for the song came from a time when Gary Rossington was in jail with Van Zant and he asked him how many times he'd been arrested, to which Van Zant answered, "11." Rossington replied, "Man, Ronnie, you're just double trouble." Also according to Ribowsky, the band originally recorded under a record label called "Double T Productions" which stood for "Double Trouble." The song also features backup vocals from The Honkettes.
Record World said that "The uptempo bluesy feel has distinct commercial appeal that could catch on big."[4]