One of the album's most notable tracks is "Dear Mr. President," where P!nk expresses her criticism of politics and society. This song, along with other singles like "Stupid Girls" and "Who Knew," helped the album resonate with a wide audience, achieving significant sales since its release. "Stupid Girls" reached number 13 on the Billboard Hot 100, while "Who Knew" and "U + Ur Hand" peaked at number nine. The album was not only well-received by the public but also earned praise from critics, achieving a score of 70/100 on Metacritic.
The impact of I'm Not Dead was notable, particularly in Australia, where it became P!nk's most successful album in the country, staying in the top 10 for 62 consecutive weeks. Additionally, it set a record for the most weeks in the Australian top 40, with a total of 167 weeks. The artist mentioned that the album's title reflects a sense of vitality and the need to express herself without fear of criticism. This emotional connection to her music translated into a work that is not only entertaining but also deeply meaningful.