WITH LOVE focuses on the central theme of love and its transformative powers. The album reflects Thomas' own experience, finding love and being aided by it as she fought a two-year battle with a thyroid disorder resulting in severe anxiety. I woke up one morning, and the sun shined in the window, and I didn't mind, Rosie says of her recovery; "the birds chirped, and I thought they were singing for me. The world felt like it was back on my side again, or vice versa, and I finally felt like myself again. Rosie began work on the record during this period of tremendous change during which she also got married and relocated to New York City from Seattle. Writing in Los Angeles, Nashville and her grandpa's farm in Kansas, she traveled to Texas to work with Sam Beam in pre-production, and after a false start recording in Nashville, Thomas returned to Seattle to assemble her band and record with producers Bazan and Wescott.