Video directed by Dougal Wilson.

A & E's lyrics were inspired by Allison Goldfrapp's visit to the ER of hospital on a Saturday afternoon in late 2007. The doctors "pumped [her] up with loads of painkillers" and she described the situation as a "bit surreal." According to Goldfrapp, the song is a metaphor for a horrible relationship. The track describes Goldfrapp reflecting on a bad situation which resulted in an "accident and emergency." The situation made her "feel blue" and at the end of the song she concludes that finally "the pain has started to slip away" even though she admits there might be "pills at work."

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