The lyrics to "Vacant" were inspired by James LaBrie's daughter, who fell into a short coma after suffering a sudden, unexplained seizure three days before her seventh birthday.
Lirik "Vacant" terinspirasi oleh putri James LaBrie, yang secara mendadak menderita koma singkat setelah kejang selama tiga hari sebelum ulang tahunnya yang ketujuh.