|"How Come You're Not Here"|
|Song by P!nk|
from the album The Truth About Love
|The Truth About Love track listing|
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|"True Love"||"Slut Like You"|
"How Come You're Not Here" is the sixth track on P!nk's sixth studio album, The Truth About Love. It was performed live for the first time in Los Angeles a few days before the album's release in order to promote it, along with the songs "Blow Me (One Last Kiss)", "Try", "Slut Like You", and "Are We All We Are". The song was preceded by "True Love" (featuring Lily Rose Cooper) on the album, and followed by "Slut Like You". P!nk stated that "How Come You're Not Here" was one of her favorite songs to sing.  In a live chat with fans, she again mentioned it as one of her favorite songs from the new album, calling it "really fun to sing" and "a total rocker". 
This song finds P!nk recalling a fling her husband Carey Hart had when the couple briefly separated in the late 2000s. She told Billboard magazine: "It's funny. I wrote 'Family Portrait' when I was 21 and my parents divorced when I was 9, so I tend to hold onto things. I'm still exorcising some of those demons. And look, I'm in a relationship that I've been in for 10 years and it's never going to be perfect. Carey always jokes, 'You're always just mad enough at me to write a song.' Yep. Thanks, baby, you're my muse." 
P!nk told The Independent on Sunday that she'd been waiting "years" to write the song. "You know, we had that break-up, and that second verse is my favorite second verse that I've ever written," she said. "'I heard some rumors about another girl. I heard she's cute but she stores nuts like a squirrel. That's all cool. I'll wait right here till you get bored. And she gets carded for beer...'" (laughs). "That kind of shit I have in my back pocket. It's so easy to go back there." 
When speaking to Spotify about the song, P!nk stated, "I guess I was thinking about it as a cartoon, almost, where he's left, and I'm like, looking under the bed 'cause I'm completely delusional and he's hiding behind a stop sign and I'm like, 'I see you!' and I'm chasing after him the whole song and he's running away and I'm like, 'But I'm awesome!'"  This concept may have been inspired partially by the music video for "Please Don't Leave Me", which was conceptually very similar.
P!nk's daughter, Willow, plays bells on this song. "She's actually quite talented for a 13-month-old!" P!nk laughed to MTV News. "There was a basket of shit, and she came over and pulled out the bells and started banging on them, and I was like, 'Record it!'"