Lyrically, "The Down Town" ambiguously details a town of drug users who are afraid of change and suppressive of the narrator. The phrase "to bring me down" is rebelliously shouted throughout the chorus. A mention of pointless and rejected concern over another person's well-being is also addressed during the bridge. Given this theme of negativity, the "Down Town" song title may be intended as a double entendre or pun.
Music video
The "Down Town" video, directed by Lance Bangs, consists of a live concert performance. It retains the live audio and includes some notable differences from the studio recording; verse chords are used extensively in various parts, more punchy staccato is incorporated, and the first lyric of the bridge is changed to "I don't think that I should give a fuck about you." The performance lasts nearly a whole minute longer at 5:10.