One of Colin's favourites, he really wanted it to be included on The Bends, but he didn't get his way.

When this track was first heard on radio, in 1993, Thom noted that the title was only tentatively "How Can You Be Sure?" and that he hoped to change it. This never happened, though on the first Japanese issue of The Bends, which includes two bonus tracks, the song was called "When I'm Like This."

The background singer heard is Dianne Swann, of the band The Julie Dolphine. Originally, it was thought that it was Ed's voice doing the background vocals, re-sampled, and that "Dianne Swan" was actually a joke, meaning "Dying Swan.". Ed also does the backing vocals, but Dianne Swan is harmonizing with Thom during the 2nd verse.

This song also appeared on the soundtrack for Japanese film 'Nowhere'