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Written in 2019-2020 the album is filled with romance, heartbreak, blood, sweat and tears. The sonic leap forward can be heard from the first moments of the title track.
In 1982, while establishing herself as a singer in Downtown New York, Madonna met Seymour Stein, president of Sire Records, who signed her after listening to her single "Everybody". The success of the single prompted Sire to sign her for an album's deal.