The album's title, a portmanteau of "skeleton" and "telethon," was a metaphor for what felt like a long period of adversity for Aesop. Throughout the album's 15 tracks, he meticulously exhumes and examines these skeletons, exploring everything from death to distrust, insecurity and isolation, with moments of humor and hope scattered throughout. Upon release, Skelethon was praised for it's intricate storytelling that expertly balanced abstract imagery with concrete details, and it's immersive production incorporating sample-based beats with dusty pianos, distorted guitars, and psychedelic synths. To this day, the album remains a fan favorite and a critical darling, praised for it's poignant introspection and razor-sharp wordplay.