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"Blue Motel Room" was written at the DeSoto Beach Motel in Savannah, Georgia. The song was inspired by the first breakup of the on-again-off-again relationship between Mitchell and Guerin. The lyrics express Mitchell's hopes of rekindling their relationship, and she tells her love interest to rebuff any other suitors: "Tell those girls that you've got German Measles, honey tell 'em you've got germs."
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