Considering herself first and foremost a conceptual artist and performer rather than a singer, Betty X’s sardonic wit and unapologetic temperament is mirrored in both her music and her powerful (and often theatrical) stage performances. Her music has been described as everything from enigmatic and surreal, to aggressive, nihilistic, and brooding — as well as sarcastic and snide.

The lyrical content, mostly cleverly disguised social commentary, is metaphoric and often tongue-in-cheek.