"Confessions Part II" is a song by R&B singer Usher, produced by Jermaine Dupri and Bryan-Michael Cox for Usher's fourth album Confessions. Written by Usher, Dupri and Cox, the song is a confession of a man to his woman about his impregnated mistress, a continuation of "Confessions Part I" which relates to a man's infidelity. Its personal content evoked rumors and early responses from the public even before its release, believing that Usher was asserting the truth; however, Dupri divulged that the story behind the album is his and Usher explained that he only took inspiration from his friends' similar experiences.

"Confessions Part II" received mixed reviews from critics. The song was released as the third single from the album, following the success of "Burn". The single reached number one on Billboard Hot 100 for two weeks, becoming the album's third consecutive number-one single. Internationally, the single had lesser success than the album's previous releases.

When he started working on his fourth studio album Confessions after the release of his 2001 album 8701, Usher chose not to branch out much with musical collaborators; instead, he chose to continue creating music with his previous producers. He again enlisted producer-songwriter Jermaine Dupri, who had produced songs for Usher's two previous albums. Dupri approached Bryan-Michael Cox, asking him to become a collaborator. Cox has been a frequent partner of Dupri who had produced hits for Usher as well. Like "Burn", the second single from the album, Dupri and Cox conversed about a situation, creating the idea of the prospective song. However, they were concerned because they needed somebody to write such a song and they never thought Usher would do it. The concept became "Confessions".

Usher started recording the song on July 2003 in New York City. One day, before the night was over, Usher was singing about impregnating a mistress and becoming displeased, having found that she is three months pregnant. The theme of cheating inspired him and Dupri, and they then decided to produce two parts of "Confessions": Part I and Part II. Usher said that the former is a "dramatization where a guy confesses all the stuff he's been doing" against his woman. The latter speaks of impregnating a mistress.

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