Filmed shortly after Thug underwent an actual surgery, the clip features him in a hospital bed with a nurse monitoring an IV.
The lyrics include a nod to his infamous 2016 album cover— "Had to wear the dress 'cause I had the stick" —framing his gender-bending fashion as a strategic choice rather than just an aesthetic one.
The video transitions into a black-and-white subconscious realm where Thug appears alongside a goat and a giant snake, symbols long associated with his "YSL" (Young Slime Life) brand.
Thug openly discusses his "rags to riches" journey, boasting about cars and financial freedom.
Unlike the experimental vocal gymnastics found on earlier projects like Jeffery , "Just How It Is" finds Thug in a more grounded, introspective pocket. He uses the song to address several key themes: